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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: PERMIT N0. <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN N `2 2699 <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE AD ESS 2. DATE <br />3. LEGAL DE RIPTION r� J <br />/ PLAT NUMBER LU p,ARCEaLLNUMBER <br />(Name) fff (Address) (Tel. No I <br />5 ARCHITECT 11*me) <br />6 BUILDER A (Nane) <br />(Address) <br />(Address) <br />lei <br />PERMIT FEE <br />STATE FEE <br />PENALTY FEE <br />TOTAL FEE <br />ZONING DISTRICj n <br />FIRE ZONE <br />AGGREGATE FLOOR ARE/[/ or I <br />O <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />(Tel. No) OFFSTREET PARKING <br />ITeI No I <br />7 TYPE OF WORK / / // <br />a SIZE OF STRUCTURE 9. NO OF STORIES 10. ESTIMATED COST <br />11. COMPLETION DATE 12. PROPERTY DIMENSIONS 13. NO O FAMILIES (if Apphcaole) <br />14 TYPE Of CONSTRUCTION 15. PROPERTY AREA 16 LOST AREA PER FAMILY <br />SO FT SO FT <br />17. FRONT YARD 16 REAR YARD 19. SIDE YARDS <br />9! 1 1 S W <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 accordan— with <br />the ordinance of the VILLAGE OF ORONO, the State of Minnesota, <br />and rulings of the Bulldlnq Department. <br />SIGNATURE APPROVED <br />FOOTING O `� .7` cl <br />FRAMING <br />FINAL/ <br />i� 71 <br />- i Y✓J' L of � L.i I l ( , <br />CERTIFICATE OF OCCUPANCY ISSUED <br />Aa 44L-4� <br />DATE f �'�jer ,q <br />