HomeMy WebLinkAbout1977-04-01 Permit, New Residence #3486If.-.
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APPIKATION NM BUILDM6 PIRMff
AND ORTinaTE OF OCCUPANa
VIUAOE OF MONO, MINNESOTA
OINECTIOMli
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFOR^PERNH T is issued (PI«»»o print or TyptI
1 SITE ADDRESS
3 LEGAL DESCRIPTION
2 DATE
3486
PLAT NUMBER ^Jjoo PARCEL NUMBER 79io
4. OWN€R (Nam«)
INamo)
6 BUILDER (Namo)
(Addrtsft)
(Address)
(Address)
(Tel No.)
(Tel. No.)
7 TYPE Of
(Tal. No.l
•. SIZE OF STRUCTURE
(Hai#tl| (Widtti)
11. COMPLETION DATE
(Oaptfi)
9. NO. OF STORIES
14. TYPE OF CO^TRUCTION
12. PROPERTY DIMENSIONS
IS. PROPERTY AREA
SO FT
W. FRONT YARD 19 REAR YARD
10 ESTIMATED COST
//S'ooo. o o
13. NO. OF FAMILIES (II Applicabla)
16. LOST AREA PER FAMILY
SO FT
19. SIDE YARDS
■J
ACKNOWLEDGEMENT AND SIGNATURE:
Th* undersigned hereby represents upon all of the penalties of
law, for the purpose of inducing the VILLAGE OF OflONO to take
the action herein requested, that all statements herein are true
and that all work herein mentioned will be done in accordance with
the ordinance of the VILLAGE OF OflONO. the State of Minnesota,
ahd rulings of the Building Department.
IKMATURE ^ APPROVED Jj
£. Of\
3 7S oe>
PERMIT FEE Sg
STATE FEE _
PL . C,K.
PENALTY FEE
S7..<c
/££.do
TOTAL FEE
OFFSTREET PARKING
CONSTRUCTION
FOOTING__
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY
DATE
ZONING DISTRICT J
1
FIRE ZONE ■ J
t
AGGREGATE FLOOR AREA ^ t
FLOOR AREA RATIO
.. .. ..M/'^TERIAL FILE WITH 4
• jc.-- S