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AMICATION FOR BUILDING PERM <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE ADDRESS <br />DESCRIP <br />PERMIT NO. <br />N° 2718 <br />2. DATE <br />G - / 1 `7 -L <br />Lam! <br />1�IBER PARCEL NUMBER <br />�J Q <br />WNER (Name) <br />% (Address) <br />ITeI. No.) <br />`b <br />r <br />D o o-r1RCHITECT <br />(Name) <br />(Address) <br />(Tel. No I <br />UILDER _ (Name) <br />'/ (Address) <br />(TeI. No.) <br />�1 in <br />a <br />I--,�. <br />7 <br />1 VPE OF WORK <br />6, <br />SIZE OF STRUCTURE <br />9. NO OF STORIES <br />1*ESTIMATED <br />COST <br />(Height) Iwift <br />iI <br />C7 [2 <br />it. <br />COMPLETION DATE <br />12. OPERTY DIMENSIONS <br />13, NO^ FAMILIES (If Appl�cablel <br />I <br />114. TYPE OF CONSTRUCTION I155 PFROPERTY AREA I <br />1166 LOST AREA PER FAMILY <br />FT <br />17. FRONT YARD 118 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 />i <br />SIGNATURE ►PRO <br />PERMIT FEE Z IJ:T-A W. 'V <br />STATE FEE <br />PENALTY FEE _ h_ <br />TOTAL FEE /� v <br />ZONING DISTRICT <br />FIRE ZONE LL <br />AGGREGATE FLOG A <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREtT PARKING <br />CONSTRUCTION <br />IV <br />FOOTING 3 t4 2. O « +' ' ✓, <br />FRAMING O Lj <br />cJA,Jj /Q e��Or <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISS <br />DATE _ BY <br />