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APPLICATION FOR BUILDING PERM <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: PERPERfN NO <br />SPACES NUMBERED I THRU 13 MUST BE FILLED IN 0 3596 <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE ADDRESS 2 DATE <br />3 LEGAL DESCRIPTION <br />PLAT NUMBER S/ 3� PARCEL NUMBER QQ <br />l OWNER (Name) (Address) (Tel No.l <br />&Y /30 417Y <br />C��LLtcksQ�✓ R" * rovp mN avvy <br />5 ARCHITECT (Name) (Address) (Tel No l <br />6 BUILDER <br />(Name) <br />(Address) <br />(Tel No I <br />7 TYPE OFF WORK <br />RLS• <br />8 SIZE OF STRUCTURE <br />9. NO OF STORIES <br />10 TIMATED COST <br />(Height) (W.dth) <br />(Depth) <br />7 / �� • � b <br />i <br />11. COMPLETION DATE <br />12 PROPERTY DIMENSIONS <br />13. NO OF FAMILIES III Applicable) <br />14 TYPE OF CONSTRUCTION I15 PROPERTY AREA <br />UJI) F1ZA#KE_ SD FT <br />17. FRMIT YARD 18. REAR YARD <br />SO <br />AREA PER FAMILY <br />PLAM 6 _ 9 /, So <br />-5A c — 3 7S <br />PERMIT FEE <br />STATE FEE 'L • 5-0 <br />SC'W EQU tn1 I t 2 <br />PrN*tiY F E E <br />TOTAL FEE Q I? , O <br />ZONING DISTRICT <br />r- 1-t <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING <br />T <br />DE YARDS 1 <br />FRAMING <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 UPONO to take <br />the action herein requested, that all statements herew are true <br />and that all work herein mentioned will be done in accordal.-e with <br />the ordinance of the VILLAGE OF ORONO, the State of Mlnn(-;,)ta, <br />and rulings of the Building Department. <br />SIGNATUR APPROVE <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />