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<br /> �.�,�f'� � APPLICATiON �OR �UtLD11dG PERMIT PE�,�,�T FEE %03. o 0
<br /> r�`� ' ��`�IND CERTIFI�iT� OF OCCUPANCY
<br /> '�":-: ' - PLAN CHECK FEE
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<br /> � � ; l ' _ VILLAGE OF ORQNO, MINNESOTA PENAITY�EE _
<br /> �,� GIRECTIONS: FERMIT NUM6ER TOTAL fEE /��� � �
<br /> +:'SPACES NUMSERED 1 7MRU 13 nAUST!E FI!LED IN � /
<br /> ` �lEFORE iERMIT 15 ISSUED(Plww Prtnt or Ty ) � O Y' ZONING DISiRICT
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<br /> � �';iLA7 NUM6ER �3 D PARCEI NUMBER L� ,
<br /> S� 4 'OWNER�, (Nam�).. (Addreu) (Tal. No.) OFFSTREE7 PARKING
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<br /> C�t`� s� 'J'*.; ' t"` ,:,1 . �+f�/��r •�/ T� g�� SPACES REQ. �.
<br /> �s5 wARCHITECT � , ' (Nam�)' (Addr��s) (Tel. NoJ ; .
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<br /> �EW CONSTRUCTION � �` ALTERATIONS O ADDITIAN ❑ FINISM A?TIC ❑
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<br /> 1�'��,FIHISH+lASEA�fENT�O v�.,,�„�`PORCH O` GARAGE � REROOF ❑ RESIDE O MISC. SIZE Of EACH
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<br /> }!`SI'E OfjSTRUCTURE 5 a:' �9. NO. OF STORIES �10. ESTIMATED GOST NUM6ER OF OCCUPANTSOR SEATS ••: `
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<br /> �11.�COM/LETfON DATE fk 12.;'PROPERTY,D1MfNSIONS . 17. NO.O FAMILIES(If Applicobl�)
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<br /> 14:�TY►F Of CONSTRUCTION 13. PROPERTY AREA 16, lOT AREA PER FAMItY �TERIAI FIIED WITY A►PUCATION .
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<br /> ,��7f�FRONT,YARD�� r- : 18. REAR YARD ' 19. SIDE YARD+S �IlIN6 LO(35 O,
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<br /> :+FLOOR AREA A►VORTIONMENT , ,. --
<br /> � U� ,,F<rga�w�"is:�s AREA : SURVEY i7 � CO►IES
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<br /> ��'� J` .. O GC.1�(� � /"01�� Lfi'17 PROPOSEp GRADE FOUNDATION
<br /> ` ' �SQ. FT. IN REUTION TO CUR6 OR CROWN '
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<br /> � "�" � ACKNOWLEDGMEIVTi AND SIGNATURE: ceRTiFic�re oF occur�Ner issuEe
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<br /> ��� ;^� � r ,iThe undersi�ieci hereby represents upon al1 of the penalties of law, for thc ��TE er
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<br /> �t.�,�.�'�� u e of induc�n�the ViIla e of Orono to take.the action herein req uested that v � �
<br /> ] �y"'"'�alIrstatemer�.ts"herein are true and that aII wor?c herein m e n ti o n e d w i'I I b e d one in
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<br /> e�.� , accordance with,thc ordinance,of the VilIage of Orono, the State of Minnesota, -
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