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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />OIR EC —:OHS: <br />SPACES NUMGERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED IPlease Print or Type) <br />1 SITE ADDRESS <br />D,-�- <br />/ <br />3. LEGAL DESCRIPTION <br />PLAT NUMBER <br />4. OWNER (Name)) <br />_ 4 <br />5 ARCHITECT (Name) <br />6. BUILDER INime1 <br />PERMIT NO <br />W 3191 <br />2. DATE <br />i - <br />J [ )PARCEL NUMBER �O <br />(Address) (Tel. No.l <br />YL <br />(Add, ass) (Tel No.l <br />(Address) (Tel No.) <br />7. TYPE OF WORK <br />8. SIZE OF STRUCTURE <br />9 <br />NO, OF STORIES <br />IHeiyit) (Width) (Depth) <br />11. COMPLETION DATE <br />12. <br />PROPERTY DIMENI <br />14 TYPE OF CONSTRUCTION <br />15 <br />PROPERTY AREA <br />SO, F T <br />17. FRONT YARD <br />I 1S <br />REAR YARD <br />Qti_ <br />10 ESTIMATED COST <br />/0 9, <br />13 NO OF FAMILIES II(Appl., able) <br />16 LOST AREA PER FAMILY <br />SO FT. <br />19. SIDE YARDS <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 ORnNO 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 Minnesota,_ <br />and rulings of the Building Department. <br />SIGNATURE r APPROVED <br />C <br />G-� <br />./.-- oL .l5 4, So <br />PERMIT FEE &h to)r <br />STATE FEE T/ •� r0 O <br />FEE <br />TOTAL FEE _fZ <br />I ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA �n <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING <br />FRAMING <br />F INAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />