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2010 - 00086 - addn/remodel/repair
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2380 Wayzata Blvd W - Harvest Moon Co-op
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2010 - 00086 - addn/remodel/repair
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8/15/2023 7:19:48 AM
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1/15/2020 2:27:16 PM
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Fees to be Charged YES NO <br /> Permit v°*" <br /> Plan Review y/ <br /> State Surcharge <br /> Investigation Fee <br /> SAC-Number of SAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) 1/- <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site et:r Plumbing ❑ Grading / Filling ❑ Well <br /> ❑ Hardcover Removal )3—Mechanical ❑ Fire pr Electrical <br /> B" Footing ❑ Septic 0 Water Connection <br /> ,Poured Wall 0 Fireplace 0 Sewer Connection <br /> ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation <br /> ❑ Radon Rock Bed 0 Mfg. <br /> C raming NrOther(specify) �i{ji>r 6 N I'/K(-ASS <br /> , Insulation <br /> ❑ As-Built Survey <br /> p-Final <br /> ❑ Other(specify) <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: 0 YES ❑ NO New: 0 YES 0 NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />
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