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1i <br />APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: PERMIT NO <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN "] AI () <br />BEFORE PERMIT IS ISSUED (Please Print or Type) N <br />22 <br />1 SITE ADDRESa �' 2 fTE <br />3 LEGAL DESCRIPTION !� L <br />PLAT NUMBER A— / 16 C PARCEL NUMBER <br />4 OWNER (Name) ,'v�/1 /' �/1(Address) (Tel No I <br />5 ARCHITECT (Name) ,/ (Kddress) (Tel No I <br />6 BUILDER (Name) (Address) (Tel No I <br />7 TYPE OF W ./� <br />8. SIZE OF STRUCTURE 9 NO OF STORIES 10. ESTIMATED COST <br />(Height) (W.dth) (Deptl.) <br />11 COMPLETION DATE 12 PROPERTY DIMENSIONS 13. NO OF FAMILIES (if Applicable) <br />14 TYPE OF CONSTRUCTION 15 PROPERTY AREA f 16 LOST AREA PER FAMILY <br />_ SO F7 SO FT — ---- <br />17 FRONT YARD 16 REAR YARD 119 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 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 Minnesota, <br />and rulings of the Building Department. <br />L � 1 <br />SIGNATURE APPRO � D <br />PERMIT FEE n <br />STATE FEE J O <br />PENALTY FEE q� <br />TOTAL FEE J C/ <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING <br />FRAMING�_- <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />