HomeMy WebLinkAbout1974-07-01 Permit, New Residence #2913z «r«V.* ’ .^r>4r-t0r^i-□I
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APPIKATION FOR BUILDING KRMIT
AND aRTIFKATE OF OCCUPAIKY
VHIAOE Of OlONO. MINNESOTA
PERMIT FEE !U\£>'0
STATE FEE / ^ C C
DIRECTIONS;
SPACES NUMBERED 1 THRU 13 MJST BE FILLED IN
BEFORE PERMIT IS ISSUED (PImm Print or Typo)
PERMIT NO ^ ^N9 2913
1 SITE ADDRESS ^ D /) TS Ir /CJ
2. DATE ^
'7^
3 LEGAL DESCRIPTION
9W/) /4 - PLAT NUMBER PARCEL NUMBER^ ^
4 OWNER (NamoJ (Address)(Tel. No.)
S. ARCHITECl (Name)(Address)(Tel No.)
e. BUILDER (Nafiia)
7^
(Address)
/yyt^ ’
(Tel. No.)
7. TYPE OF WORK
B ul ■
a. SIZE OF STRUCTURE
(Hoi^t) (Width)
a
(Oapth)
9 NO OF STORIES 10. ESTIMATED COST
0 V
11. COMPLETION DATE 12 PROPERTY DIMENSIONS 13 NO OF FAMILIES (If A|>plicable)
14. TYP^^ CONSTRUCTION 15. PROPERTY area
90. FT
16. LOST AREA PER FAMILY
SO. FT
17. FRONT YARD 1i. REAR YARD 19. SIDE YARDS
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TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA J f Q ^ ^
msgi
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
ACKNOWLEDGEMENT AND SIGNATURE
FRAMING
FINAL
The undersigned hereby represents upon all of the penalties of
law, for the purpose of inckicing the VILLAGE OF OffONO to take
the action herein requested, that all statements herein are true
and that ail 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.
CERTIFICATE OF OCCUPANCY ISSUED
DATE
Vl
SIGNATURE
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