Laserfiche WebLink
z «r«V.* ’ .^r>4r-t0r^i-□I <br />F- -r <br />\W <br />»• <br />APPIKATION FOR BUILDING KRMIT <br />AND aRTIFKATE OF OCCUPAIKY <br />VHIAOE Of OlONO. MINNESOTA <br />PERMIT FEE !U\£>'0 <br />STATE FEE / ^ C C <br />DIRECTIONS; <br />SPACES NUMBERED 1 THRU 13 MJST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (PImm Print or Typo) <br />PERMIT NO ^ ^N9 2913 <br />1 SITE ADDRESS ^ D /) TS Ir /CJ <br />2. DATE ^ <br />'7^ <br />3 LEGAL DESCRIPTION <br />9W/) /4 - PLAT NUMBER PARCEL NUMBER^ ^ <br />4 OWNER (NamoJ (Address)(Tel. No.) <br />S. ARCHITECl (Name)(Address)(Tel No.) <br />e. BUILDER (Nafiia) <br />7^ <br />(Address) <br />/yyt^ ’ <br />(Tel. No.) <br />7. TYPE OF WORK <br />B ul ■ <br />a. SIZE OF STRUCTURE <br />(Hoi^t) (Width) <br />a <br />(Oapth) <br />9 NO OF STORIES 10. ESTIMATED COST <br />0 V <br />11. COMPLETION DATE 12 PROPERTY DIMENSIONS 13 NO OF FAMILIES (If A|>plicable) <br />14. TYP^^ CONSTRUCTION 15. PROPERTY area <br />90. FT <br />16. LOST AREA PER FAMILY <br />SO. FT <br />17. FRONT YARD 1i. REAR YARD 19. SIDE YARDS <br />- A'^A-r <br />..............------------ --------------------------------------------------------------------------------------------------------------------------------------------- . <br />TOTAL FEE <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA J f Q ^ ^ <br />msgi <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING <br />ACKNOWLEDGEMENT AND SIGNATURE <br />FRAMING <br />FINAL <br />The undersigned hereby represents upon all of the penalties of <br />law, for the purpose of inckicing the VILLAGE OF OffONO to take <br />the action herein requested, that all statements herein are true <br />and that ail 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 />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE <br />Vl <br />SIGNATURE <br />K-to