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AMICATION FOR BUILDING PERMIT <br />AND CERTIFKATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS 155t1Fn IPI.... P..., - T-I <br />PERMIT NO <br />N ° 3517 <br />1 <br />SITE ADDRESS <br />4 <br />2. <br />DATE <br />--17- 2 <br />J. <br />LEGAL DESCRIPTIdN <br />r <br />PLAT NUMBER PARCEL ER <br />1. <br />OWNER <br />(Name) (Address) <br />(Tel No.) <br />4,61 <br />5. <br />ARCHITECT <br />(Name) (Address) <br />(Te. No I <br />6 <br />BUILDER <br />(Name) ^ (Address) <br />ITei No.) <br />7 <br />TYPE OF/I VMK <br />a. <br />SIZE OF STRUCTURE' <br />9. NO OF STORIES 10 <br />ESTIMATED COST <br />(Height) (Width) <br />(Depth) / /1 <br />/ 1 , Jew <br />` <br />11. <br />COMPLETION DATE <br />12 PROPERTY DIMENSIONS <br />13. <br />NO OFF MIL IES III Applicable) <br />IP FRONT YARD <br />ID. I'MUr[N IT AN[A <br />SO FT <br />16. REAR YARD <br />e 7 <br />- - AREA rt" rAMILT <br />SO FT _ <br />19. SIDE YARDS <br />30 'w <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />The undersigned hereby represents upon all of the penalties of <br />law, for the purpose of inducing the VILLAGE OF ORONO to take <br />the action herein requested, that all statements herein are true <br />and that all work herein mentioned will be done in accordance with <br />the ordinance of the VILLAGE OF ORONO, the State of Minl,esota, <br />and rulings of the Building Department. / <br />- - /V, <br />1 , <br />1114ATURE L APPROVED <br />PCRM!T FEE <br />S',ATE FEE <br />104 0t< <br />OVN*A.L* FEE oe% (% <br />TOTAL FEE 41 oc <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR ARFA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCT <br />FOOTING <br />FRAMING <br />FINAL <br />ON <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />