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APPiICAT10N FAR tUI�DING PEkMIT � ,�� �^�}� 1
<br /> AND CERTIFI�TE OF OCCUPANCY <- ` - , = � � �� � ��-�
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<br /> PeRMIT FEE /—� �%. J L� .,�, �'.� �� �w'S''� m-�y'� �
<br /> VILIA�. c�F ORONO, MINNESOTA L �. �, �s „� ,�.��.�
<br /> STATE FEE_ •� 1 • n � ����- y �
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<br /> �' PENALTY FEE���. L� �
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<br /> DIREC 'IONS: TOTALFEE— J�� ���� � �
<br /> PER�Y.!7 NO. �-- 9I
<br /> SPACE5:lUMB'cRED 1 THRU 13 MUST BE FILLED IN ^���
<br /> BEFOpE PERMIT IS 159J�D�Plense Print or Type) N O � Z�ING DISTHICT /� . �� i
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<br /> 1. SITE ADORESS . 7— _ / v -� <
<br /> / �C O /� 2. 04TE FIRE ZOF1E /�I ' ;V� _ �
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<br /> 3. 4 EGAL DESCR TION � AGGREGA7E F�p�t�A��
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<br /> C � PLAT NlM59ER '�� /yf / � ,
<br /> .__ '1'L-�CEL NUMBER FLOOA AREA A O
<br /> 4. OWNER (Nimr� ,�_ �A�dress) (Tol.No.) � I
<br /> n MATEHI4L FILE WITH
<br /> G-r� •�cc hc �p �p C�',�t/ � �� /L� �
<br /> 5. ARCHITECI (Ptima) -.- �. .}a y � r �-d
<br /> (Abdress (Tel.No.) ��w x�„sSyFa.����"3 �s t 1�;. x ' �
<br /> OFFSTREET PAHKING I� �a {,� � � � � :'� {�Y�`
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<br /> 6. BUILOER (Nama) t ��,'���f�..� �� "a ; .� 1 ,� r- ��'
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<br /> � (Addressl � k�` Y c "c J
<br /> ITeI.No.) s� ,r '� -' � / �u� �'� ^�'���` � '
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<br /> 7. TYPE OF WORK ✓. � ;�
<br /> COt.STRUCTION ��' ',• : 7 , ,.� x .
<br /> 8. SIZE OF STRUCTU/iE � � -./'�� -- !� �� ��` � 4 � /� f ��.€
<br /> IHri l 9� ��OF STOqIES 10. ESTIMATFD COST FOOTING_ �VA� �' ��� r�� �� . ,
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<br /> 11. COMPLETION DATE 72. PROPERTY DIMEMSIONS 13. NO.OF AMILIES(II�ppliuEle) �'�e�,`,4� � �•�"`� �� � ?'4 -'
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<br /> 1t. TYPE OF COMSTRUCTION 15. PROPERTY AAEA 16. LOST AREA PER Fl�MILY � � � 3 ;- �
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<br /> 4k s 3� - F �T��,
<br /> SO.FT 50. FT. + . �r ..��
<br /> 17. fRONT YARD 18. REAq YARD 19. SIDE YARDS � "•i �, ;�
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<br /> FRM�ING ,,.�^n-�"y' # `�tt �y��. �^ � ' =� E
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<br /> -- FINAI -i � .. � 5.�- '�� ,, �r
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<br /> ACKN01yLEDG�MENT AM� S�GN�TUR�: ���+, ��, ��, k �,���,�, . ,F����� -
<br /> (he �ndersigned hereby represents upon ali of the penalties of ; s , .+ �� � 6 � s � �
<br /> law, tor the purpose of inducing the VILLAGE OF ORONO io take ��� ����'p �"` � . � ��'� �� ��
<br /> F.. -�t _ �r. ° "��"- '���$�'
<br /> the action herein requested, that all staiements herein are true i ceRTir�CaTE oF ocCUPuaCr issueo � � �, fi���s�Pa�
<br /> � �w ��y�+'"'�'�'I,r�bg V,. "n�C�3a'�'J
<br /> ::^d that all work herein mentioned will be done in accordance with �,,X,1 , . �` ,
<br /> _ a^� � �
<br /> the ordina�ce of the VILLAGE OF ORaNO, the State of Minneso4a, I 7>, 4
<br /> and rulings of the Building Department. ( `{ '�
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<br /> SIGN�TURE A PqOVF�/ �C�L'v DATE pY �Y) � y�� � .. . Y i
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