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<br /> RTIFICATE OF OCCIJPANCY�� �� � � �-
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<br /> ADDRESS
<br /> IEQAL DESCRIPTION`PROPID: ' D
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<br /> 4 F J• A r.i:,� t-` } ) %..a 99ii N'2�•ay -n
<br /> 11gCHITECT/ENGINEER Must Certify Multi FiMily,Comrr*idd 3 l.Ifttrid
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<br /> Addreu)',r*
<br /> BUILDaER' ® (Flrin)
<br /> TYPE OF WORK New # Remodel` r Rte'
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<br /> ' 1 CONST TYPE BLDG.SIZE -� J
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<br /> r T CONST VALUATION
<br /> ��MIETLANDS%
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<br /> RESIDENTIAL STORIES B. 1 21 "3,� 'r urPERR�ITfE
<br /> BLDG PERMIT��
<br /> kEX�STING' t i „"'
<br /> DWELL BORMS/FLR-` i •t�.,d. r�-�.c�•.r. '' •r r
<br /> 1�► �. : a UNITB' STATE'FEE "r
<br /> GAR.STALLS SEPTIC P�c jr �5 '_: F •
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<br /> APP,DATE LAN REVIEW
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<br /> DET
<br /> ,". DOCK _ T,PENALTY,
<br /> NON-RESID. PROPOSED USE 1 PARK FEE + ,,
<br /> SAC CHARGE iR
<br /> my STORIES gtii. :COUNCIL
<br /> APP."DATE TOTALDUi:
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<br /> IRED� kMr WORK REQUIRING � ME '
<br /> ACKN�WLEDGENT� 5,
<br /> ar a oo�r j kSEPARATE PERMITS
<br /> ��q.:pxy.F��> f }}�,:tr•, THE UNDERSIGNED HEi EBV REOUESTS PERMISSKiN TO MAK
<br /> Tq PLUMBING THE,,REAM IMPROVEMENTS SPECIFIED . AND DECLAR
<br /> ~ 'Mf�zTaMpY �,l•MECHANICAL '" x UNDER PENALTY
<br /> OF.LAW ACKNOWLEDGEMENT'AND
<br /> ooetivMrcyx` ` #WELL s ANCE OF.ALL INFORMATION, CONDITIONS,XWD REOUIR
<br /> SEPTIC Miw*TS REPRESENTED'ON THIS DOCUMENT'THE UNDER= '
<br /> ... AOR MIITHOUT,A RE " SEWER.
<br /> MI�ECTION WIL'4 BE SUB• ,... SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICTCOM-
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<br /> GRADING FILLING PLIANCE WITH ALL Cl I Y C ��FaO DINANCES ORAND STAT
<br /> HOURS d 4 +75-736 1G W K V2
<br /> ;0 PAC ,� OF MINNESOTA BUILDING t t f'cOUIREMENTS. , f �Y
<br /> LjL t4 P.M:INBP NEXT DAY'. ELECTRICAL from StabAUA
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