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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED I THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE %%/�s'J <br />DDRESSCi l- "i <br />3. LEGAL DESC <br />r LAT NUMBER <br />A. p *j (Name) <br />/(-t 1'."T 4" <br />5. ARCHITECI (Name) <br />6 BU.LDER <br />PERMIT NO <br />N° 2648 <br />2 DATE <br />S-72 <br />Y( PARCEL NUMBER <br />IF Mress) I (Tel No I <br />ITO. No.) <br />7IAessl ITeI. N,1 <br />/,1B /. II/ W %%-! <br />7. TYPE OF WOR <br />S. SIZE OF STRUCTURE 9. NO, OF STORIES <br />(Haight) (Width) (Depth) <br />11. COMPLETION DATE 12. PR PERTY DIMENSIONS <br />14. CfTPE OF CONSTRUCTION 15. PROPERTY AREA <br />I SO FT <br />17. FRONT YARD 118 REAR YARD <br />/ze �rc <br />10 ESTIMATED COST <br />13. NO Ot FAMILIES (I! Applicable) <br />_OST AREA PER FAMILY <br />FT <br />SIDE YARDS <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />The undersigned hereby represents upon all of the penalties of <br />law, for the purpose of inducing the VILLAGE OF ORONO to take <br />the action herein requested, that all statements herein are true <br />and that all 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 />SIGNATURE APPRO D <br />PERMIT FEE / " /. <br />STATE FEE � • it o <br />PENALTY FEE TOTAL FEE 1 / 6 S in <br />ZONING DISTRIC n <br />FIRE ZONE L <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION ^ <br />FOOTING r �y O N <br />M � <br />FRAMING U 4 <br />, <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE By <br />O� I <br />