HomeMy WebLinkAbout1973-05-21 Permit, Fireplace #2816CAPPLICATION FOR BUILDING PERMR
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 TNRU 13 MUST BE
FILLED IN
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2 816
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE ADDRESS
2. DATE
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3. LE L DESCR TION
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NUMBER L3oO
PARCEL NUMBER
• OWNERINamal
/
(Address)
(Tel No 1
I
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S ARCHITECT IName)
(Addressl
(Tel No)
S BUILDER
7 TYPE OF WORK
i
(Tel No I
PERMIT FEE ' )
STATE FEE • s0 `'
PE"ALTY FEE
TOTAL FEE
ZONING DISTRICT /'D
FIRE ZONE
M•
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET
a SIZE OF STRUCTURE NO OF STORIES 10. ESTIMATED COST FOOTING
("941m) (Width) 1136 l
11 COMPLETION DATE 1T PROPERTY DIMENSIONS 13 NO OF FAMILIES (II Apphcis
14 TYPE OF CONSTRUCTION 15 PROPERTY AREA 16 LOST #.REA PER FAMILY
17 FRONT YARD
to REAR YARD
ACKNOWLEDGEMENT AND SIGNATURE:
YARDS
The undersigned hereby represents upon all of the penalties of
law, for the purpose of Inducing the VILLAGE OF ORONO 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 ORONO, the State of Minnesota,
and rulings of the Building Department.
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SIGNATURE APPROVED
FRAMING
F INAI
CERTIFICATE OF OCCUPANCY ISSUED
UATE
BY