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. , <br /> ' � � �� . , � <br /> r � . <br /> 8TRUCTURE INF�RMATION: ' •, ; �� � ; , <br /> 1.9tructure Dlmenslone 1.8tEucture`D6nenalans(contlnued) � 2 Ty�oi Construction <br /> + � : � <br /> a.Lertgth(R)= �� Number of bedrooms= �Wood/Freme <br /> \� ' Masonry <br /> b.Width(ft)= � d' Number of garage stalis: ❑Metal <br /> Attached= ' , ❑Pole Bldg. <br /> Ar�ea In sauare feet Detached= ❑ICF <br /> � ❑On-site Prefab <br /> c.Besemer� ❑Oif�site Prellab <br /> d.'I°�Story = (°�a � ❑Oihe�(plesse�peCify): <br /> e.2"�StDry= � . <br /> f. �5 Story = <br /> g.Totsl Area= <br /> REQUIRED SUBMITTALS: � � <br /> AII of the Information must be submitted in order for, our a lication to ba rocessed: <br /> . . .. =�'1�.. . �� -.�-;- . . .;, , ... . . . . , , . <br /> , . ..�, . <br /> . .. .;..... . <br /> . , , . .. ._.. :,�: <br /> .- �. <br /> . ; : ,,:, � ,: � - - � � . . . . . <br /> I���I�� <br /> , .. ._ . : . . .. .... .. . <br /> ._ .... .. .._,.�......_ .. _ <br /> � Permil lic�tlon <br /> � O Pro osed Bufidin Plens <br /> ❑ MN State Ene Code Calcula�or�and Mechanical Cade R uirements Form <br /> � Surve meetin all uir�menb <br /> 0 6d Stormwater Poqutian Preventlon Plan <br /> O �' Hardcover Celcul�tion s � <br /> � � Se c S etem Site Evaluetlon Re ort <br /> � � Access Permit <br /> Wetland Buiter Im ravement Plan <br /> �7! En ineered Plans for Retalni Walls 4 t�eet br above <br /> � Plan Revlew Fee <br /> O O ather � <br /> APPLICANT ACKNOWLEDGEMEPIT: � � <br /> , <br /> • Agrees to provide all inPormaUon requlred,or requ�ated by the Buildirtg Departmen� <br /> • Agr�ees to psy the CHy of O�ono ior englrleering cort�ultant revlew co� in eacess a�f$600; <br /> • C.er�Res that the infortnaiion supplied ie true and correc�to ihe beat of his/her knowledge. The applic�nt recognia�that tltey <br /> are aolely responsible For submitting a oamplete appllcation being aware that upon failure to do so, the statf has no eltemat(ve <br /> but to rejecl it unh11 it is complete; • <br /> . Ac�Cnowledgea the Escrow Agreemenl Is completed and signed; <br /> • 3ome or all of tha Uformation that you are asked to provide on this applfcatton is classlfied by Siate law as elther p�vate or <br /> eonfidential. Private da�is inAorrnatlon which generally cannot be given to ihe public but can be given to the subjact of the data. <br /> Con�dential det�Is Infortnetion whlc�g�erelly t�nnot be glven to ei�er ihe public or the suhject of the data. Our purpose and <br /> intended use of this infonnaticn is to annually update our records and recorda of other govemmental agendea requlred by law. <br /> Ityou�e#use to aupply the Infcrtnatlon,the applicatlon may not be�aued. <br /> p►Pp�fcaM's 31g�ature: � ' ��' I � <br /> Dete: <br /> i <br /> Last Updaled: 9/29/2008 ' <br /> h -18- <br /> E 'd Xd� 13C213Sd� dH WFJZS �6 0 T OZ BZ �EW <br />