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<br /> 03/15/2005 09:21 7634344933 HARMONY HOMES INC PAGE 04
<br /> 01/24/2095 09:33 7635933997 MCMANLra PAGE �2
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<br /> Plan Review Submittal Ch"kNet Cbeck Below for Enem Code COMPliance
<br /> Cqde information Handout(Noa-Residential)
<br /> Chapter 7670-Category 1
<br /> �—Cc rnpleted Application Chapter 7670-Category 2
<br /> T7c Legal Surveys (remodeling only)
<br /> TWo Complete SM of Pima-Residential Chapter 7672
<br /> T o Complete Sets of Signed Plus-Commercial
<br /> e Energy Calculation Chapter 7674
<br /> Permit an Pian Review Fee are based on 2004 LMC/AMM Recommendation,
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<br /> The andetsigned hereby represents upon all of the penalties of the law,for the purpose of ibeluding the City of Golden Valley to take
<br /> the action herein requested,that all shftinenb are true,and that all wort:herein will be done in accordance with the ordinances of she
<br /> City of Goldcn Valley and the State of Minnesota-
<br /> Appitcanys sigAnture Date
<br /> Thiq permit sholl be null and void if authorized work is not started within 180 days o�if work is suspended or 9bandoned for
<br /> 190 days or more after work is started.
<br /> ❑ Grading permit not required. ❑ Grading permit approved.
<br /> signature /Dalt signaruri! - l Date -
<br /> permit Approved By: Date Approved.;
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