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APPIKATION FOR BUILDING PERNUT <br />AND aUTIFKATE OF OCCUPANa <br />VIUAOE OF ORONO, MINNESOTA <br />DIRECTIONS: <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN <br />BEFORE PERMIT IS ISSUED |PI«ast Print or Type) <br />1 SITE ADORE <br />'Ss'O X^/O. <br />""“N? 2756 <br />2. DATE <br />'13- '1^ <br />3 LEGAL DESCRIPTION <br />PLAT NUMBER PARCEL NUMBER <br />4 OWNER (Name), /fi.(Address)(Tel No ) <br />5. ARCHITECl (Name)(Address)(Tel. No.) <br />6 BUILDER (Name)(Address) <br />7. TYPE OF WORK <br />cJeA- <br />(Tel. No.) <br />8. SIZE OF STRUCTURE <br />(Height) / (Width)/ (C)m$i) <br />11. COMPLETION DATE <br />14. TYP^;TJF CONSTRUCTION <br />(d/LCLATASi, ■ <br />17. FRONT YARD <br />9. NO OF STORIES <br />¥12 PROPERTY DIMENSION!// a. <br />15 PROPERTY AREA <br />SO FT <br />18. REAR YARD <br />10. ESTIMATED COSTtiLDO O <br />13. NO. OF FAMILIES (If Applicable) <br />/ <br />16. LOST AREA PER FAMILY <br />SO FT <br />19. 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 OFtONO 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 OROMO, the State of Minnesota, <br />and rulings of the Building Department. <br />■^,LlUiu <br />SIGNATURE APPROVED <br />PERMIT FEE /‘lo -s' <br />STATE FEE M-o ^ <br />PENALTY FEE <br />TOTAL FEE__ <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING /y. XO - <br />FRAMING <br />FINAL <br />X- /S-73 <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE