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06/11/92 13;51 THE CITY OF ORONO 612-473-7357 007 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Feet $ )f 7/ • Date Received: <br /> Date Approved: <br /> Entered By: Permit.;_,___ <br /> ML INFORMATION MUST BE EitraNITABD ZIP FULL =PORE PLAN REVIEW RILL RE ST RTBa <br /> (See Check--off List Enclosed) <br /> • �� r�w�rrNR��...^mow�r�r� <br /> TBX APPLICANT IS: (circle one) OMER or CONTRACTOR <br /> JOB BITE =DBMS: 48'S c/d. 7.5701 /2d S. RIP, 6`53 2. <br /> (work) <br /> NA= OP ON1E: ��� ,Ii€o>' ../ �e.J� PROBE:(home)17 .3Od <br /> J <br /> NAILING ADDRESS, S" o/ct ,:.gieT Cr 4e/1q ZIP: .5.53 <br /> QONTAACTDRr TCSS Acquisition h1C. PHONE: ‘.5 /4.-,/ ,6� <br /> G ADDRESS: Minnetonka,Minnesota 55305 CYTY: _ ZIP:_ <br /> D� � <br /> STATE 1.ICBRSB: � o� <br /> a• <br /> AR ITSCP/ENGII®t: MONB: 4._ <br /> NAILING ADDRESS:: CITY: ZIP: <br /> NAME: _ REGISTRATION $ <br /> TYPE 07 Wit New Addition_ Accessory Structure Move <br /> Demo Remo' a /Aiteratian Renovate a Land ffaration, <br /> PROPOSED WORK (describe is detail) ; c749 Go/w 2)O eJS <br /> • -.alp • _ - 8E > I- T�i.eeea - <br /> STORIES: SQ. PRET OF EACH MOOR* .� <br /> NO. OF BEDROOMS; GARAGE MAULS* ATT.- DAT._ _'- . <br /> BSTIMIT8D CONSTRUCTION VALUATION (esalnding lead)* $ 70. _ <br /> I hereby applyfor a building permit and I acknowledge that the information <br /> above is comete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Cods; that I <br /> understand this is not a permit and work is not to start without a permit; and. <br /> that the work will be in accordance with the approved. plan. <br /> APPLIGaNT•8 SIGNATURE* / � / DATE: <br /> k <br />