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12/96/2006 12:42 952-935-9544 MINNESOTA RUSCO PAGE 02/02 <br /> Total Fee: Uate Received: <br /> Entered By: Permit�: � <br /> �� <br /> ������ C�TY OF QRON'O - B�LDIlVG PER�VXIT APPLICATTON � <br /> � u � . <br /> j\1 1U� All information rnust be submitted in full before plan review w�iU be started. <br /> �J ��� (please print all informatic�n) � <br /> THE APPLICANT IS_ (circle one) OWNE�t OR NTRAC 12 ^^ <br /> �os srrE �a►nnxEss: l7/ � o� . z�e:, 5�` <br /> NA.14� OF OWNER: . PHONE: (home) �Z'�� ' . � <br /> (work) <br /> MATT,nvc��,nnxEEss: •� - r� crr�r:_ z�: / <br /> ' ..9��• 9�•4�r��9 <br /> CQNTRACTOR: � PHON�: <br /> CONTACT PERSON: MOBILE/PAGEXt: !�!Z• Z$a• g005 <br /> MA�L�NC ADDRESS: 55'�'8 c�. ��� CYT'Y: l��XP: S6z;yC3 <br /> STATE LXCENSE: #��/��3 <br /> ARCHI'X'ECT/EriTGII�TEER: � P�ONE: � � � <br /> 1�IAILAYG ADDRESS: C��'Y: ZIP: � <br /> NAME= � REGiSTXtA'1'YON# <br /> . TYPE O�"i%VORS: IVew Addition Accessory Struciure <br /> Move Remodel/Alteration Land Alteration ��.� <br /> P�.tQ SED WOR.K .scribe in detai�: / <br /> � <br /> STOR7ES: SQ.FE,ET OF EACH F,I,OOR: <br /> NO. OF BEDROOMS: � � GAI�AGE STALLS: A1"'Z'. DET. <br /> . 00 <br /> ES'I'IlYIATF� CONSTRUCTION YALUA�'XON'(excIudi�ng lancn: $��� � <br /> �hereby apply for a buildiag permit and I acknovu�ledge that the infornaation above is complete and <br /> accurate; that the work wi�tl be in confortnance with the o�rdi�taa.nces and codes of the City and with <br /> the State Building Code; that Y understand this is not a penmit: and. work is noc to start�w�ithout a <br /> perm.it; and that the work will be in accor e w' the approved plan. <br /> � Z 5 v�v <br /> APPLICAN'�''S SIGNA'Z'UR�: � D�,�: <br /> N(�TE! Parade of Home� events requare eparate penn�t ar�proval by Police Departrit�nt and <br /> City Council 60 days prior to the event. Non p@rntitted events will rwt be alYowed, <br /> 5 <br />