HomeMy WebLinkAbout1972-06-22 Permit, New Residence #2672APriKATION FOR RUILOMG PERMIT
AND ORTIFKATE OP OCCUPANCY
VUAM OF OlONO, MINNISOTA
OMICTIOM:
VACEt NUMKREO 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (FImm Print or Typo)
1 SITE
LEGAL DESCRIPTION y
/H n.ki pmkeinumbe«
PEflMIT NO.
N9 2672
T 21'"70^
4. OEMEN___^ ONunI.-----
IA c Z)
(Adtfroot)(Tol. No.)
S. ARCHITECT (Nomo)(Addrooo)(Tol. No.)
S. BUILDER (N«no)
________v5/l>r> g.
(AAdroos)(Tol. No.)
PERMIT FEE )^9.co
STATE FEE rj
PENALTY FEE,
TOTAL FEE./6/.Sb
ZONING DISTRICT fh(L
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
7. TYPE OF CONSTRUCTION
t. SIZE OF STRUCTURE
(Hoi#i()(DopMI
11. COMPLETION DATE
M. TYPE OF CONSTRUCTION
17. FRONT YARD
S. NO. OF STORIES
12. PROPERTY DIMENSIONS
IS. PROPERTY AREA
SO. FT
IS. REAR YARD
10. ESTIRUTED COST
o o
13. NO. OF FAMILIES (If Applicablo)
FOOTING.
IS. LOST AREA PER FAMILY
SO. FT._________________
IS. SIDE YARDS
ACKNOWLEDGEMENT AND SIGNATURE:
Th« undorsignod 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.
ikk^
SKMATURE
FRAMING.
FINAL.
CERTIFICATE OF OCCUPANCY ISSUED
DATE
APPROVED
r".l