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FURCITY'USE ONLY' <br /> , j��O Cit�-of Oibno <br /> / �O P.O Box 66 Date Received= Pem�II# <br /> j 2750 KelleyPazkway <br /> Cr}rshlBay,MN55323 ApprovedBy. Amourg$: <br /> (952)249-4600—Main <br /> �+ �. (952)249-4616—Fax <br /> �� c:� CITI'nF C)RC�NC�—PLiTRIBII�TG PER11iIT <br /> _ <br /> �'��,sFjv�`� (AllCrn►u�ierci�ilYein�B.Aiuxt be:�.ppirorecl U�the State Prior to Cit�-.-�ppr���:� <br /> titt �:(h�«��.illiann.«o��fC'C'Ll)/F'I)I'l�e �liunb�l��iiret��i> >��. xli' <br /> GENER<�.L INFt�Rr�I.�TIC�N <br /> 1. 1"oii�iti��•apph-fi,r phn�yUn�peiYi��b�•ii�vl or niger���ii at tl�C���of�ice�. :�pglic�ti��i1��v�71 be <br /> re��ie��-ed vu)a peniYB��°illbe i.::lied�i�4lmit�r,-n��•orkn�cla`a. <br /> 3. F'e�y�it r�u d;�vill be�ei�t b�-rehnn nrul a$er a re���v i;cnn��lete�l. PF�I�IITS�P�E NOT <br /> �-�LII>iTNTTL I"t7iT RECII�'E:�PE�iIT. «'C7I�t�1�TiTST NOT BEf_iIN iTNTIL THE <br /> PERI4IIT C'_�,RD IS P(�STEI1 ON THE JOB SITE. <br /> 3. Phuii�a�peiYivt�n��-be ic;ned t�NLI�to li�eik:ed phniil>n�,coi�tractor.ua:l to prop�tt-oti���ers <br /> re�iclu�,inidie d��•ellu�. <br /> -1. ��'l�eii ain-»��-co».ch'l1CtLt)]101'1'�1110CIE1]il€;1�IIl�-Oh'�C�, �1 se�ru�ke Uitikln�per»ut iin��t be <br /> oUt:utiecl. <br /> �. :�lli1-��rk nnist be d��ue niaccord.�utie«7th State C'ode reqnn�em�i�k�. <br /> 6. �ll«•ork iin�.�t be nLsi�ected�uul ai•te:ted Ueti�re rt i�c���-ered. C:tll(95'_) :�9--16Q0. <br /> (2�-#31�oi�i•nodce i�irii�ecl) <br /> T'�'PE C)F PEP.A�iIT <br /> t_'l�eck all That� h') <br /> e.iclei�ti��l ❑C'onnnerci��l f�ppr���n1 Reqi�n ecl) <br /> ❑N��• ❑�dd�iui�11 ❑Repins epL�ce <br /> ❑ In�cce�;o�ti-Shtuhn.e„ <br /> *1'oii�rill need piioi•:ipl�ro�'al �uid xiL��-i�eed c_'LTY. {Per()ro�iu C'�•Cocle,C'l��pter'S,:��ticle I��) <br /> Jol� S i�e t�h�7ier I��toin��tian: <br /> Site addre�s: G"LG�j�C,��_� ��'�`'� <br /> C)���iier: J OlV'Y�'�S �l C��C I(� I1I<iilu��dcl��e": ��0�' �C�.�C C� ���) <br /> �-���= ���JY-`_O Zip: ��7�� C� � <br /> Home Plioi�e_ � �Z �z�`-� (�L�'� :�1te�i7��te Pliane: <br /> Coi��ctor I�lfoiYt�tian: <br /> ����fS ��y1'11�11',1c,.,�l, <br /> (='oi��ctor: _� I�'/3�' �Y ,��V�'� Coi�tact Per�oii: ��,�' � <br /> � <br /> �ddre�:: ���� .',�-''V�� State Boiid=. ����'���� <br /> a <br /> ('��: r� �\" " � Zi��:���- E.tipu�atioiiDatE: <br /> Phoiie: ��� Z?�; C�(�f( AlteiY�i te Phoiie: `U.>� ��)� ,/�i.?� <br /> ❑ Ii1�tn�aiice—(='turei�t: <br /> 1 <br />