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AMICATION FOR BUILDING PERMR <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTION& <br />SPACES NUMBERED 1 THRU 13 MUaT BE FILLED IN <br />BEFORE PERMIT <br />PERMIT NO. <br />N O 3451 <br />IS I1MJF0 Imm" Print or T ) <br />1 SITE ADDRESS <br />3075 <br />2. DATE <br />/- 2 4- 7 7 <br />3. LEGAL DESCRIPTION �- <br />PLAT NAWMER PARCEL NMBER <br />4. OWNER INmwl IAddross) (Tel. No.) <br />it / <br />S_ ARCHITECT INwW (Add•ees) ITsI. No.) <br />0. OUILDER INsnis) IAddrsssl (Tsl. No.) <br />7. TYPE OF WORK <br />e. SIZE OF STRUCTURE S. NO. OF STORIES 10. ESTIMATED COST <br />(Hei"I IWidaq IOe)tN1 <br />cz <br />II. COMPLETION DATE <br />12. PROPERTY DIMENSION <br />13. NO. Of FAMILIES (H Applicable) <br />'7 <br />/` ( 7 <br />14. TYPE OF CONINTRUCTION <br />1S. PROPERTY AREA <br />1E. LOST AREA PER FAMILY <br />SO. FT <br />SO. FT. <br />17. FRONT YARD <br />It REAR YARn <br />19. SIDE YARDS <br />6"7' <br />4 7 <br />3a /ro <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 />ordinance of the VILLAGE OF ORONO, the State of Minnesota, <br />lings o WWI Department. <br />i <br />f1OlIA ROr <br />// ;4 /dl/ /2. 76 <br />�'& 3 75 <br />PERMIT FEE 31 7 ; <br />STATE FEE <br />FEE r <br />TOTAL FEE 9�G <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITK <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING <br />FRAMING <br />FINIAL <br />CERTIFICATE OF OCCUPANCY 11UED <br />DATE By <br />