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HomeMy WebLinkAbout1972-02-08 Permit, New Residence #2630APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY VILLAGE OF ORONO, MINNESOTA DIRECTIONS: PERMIT NO. SPACES NUMBERED 1 THRU 13 MUST 13E FILLED IN Q BEFORE PERMIT IS ISSUED (Please Print or Typal 1 SITE ADDRESS 2IT E 3. LEGAL DESCRIPTION PLAT WAGER 7 D PARCEL NUMBER Q It •. OWNER n (Name) (Address) "JL / d S. ARCHITECT (Address) PERMIT FEE O `� STATE FEE + r Z TOTAL F E 13 S S a 2630 ZONING DISTRI C FIREZONE AGGREGATE F}OAOR /1 FLOOR AREA RATIO (Tel NO) MATERIAL FILE WITH OFFSTREET 6. BUILDER INeme) JQ �� (Address) (Tel. No.) 7. TYPE OF WOIIIQ /► CONSTRUCTION FOOTING— 11 —� FRAMING Ailo !f•�� / r� I. SIZE OF STRUCTURE � 9. NO. OF STORIES /� /1� 10. ESTIMATED COST 11. COMPLETION DATE 12. PROPERTY DIMENSIONS 13. NO. CWFAMILIES (If A)Plicable) 14. TYPE OF CONSTRUCTION 15. PROPERTY AREA S0, FT 16, LOST AREA PER FAMILY SO. FT. 17. FRONT YARD /6. REAR YARD 19. SIDE YARDS G I © Q T10'r/11 = f Si P_ ACKNOWLEDGEMENT AND SIGNATURE: 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. 5�h- & � �,�&A,, SIGNATURE APPROVED FINAL 1� �rr Q ✓�y " ,n � .P �1 CERTIFICATE OF OCCUPANCY ISSUED DATE yQ •'/BY . d�