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10i18i94 16:25 THE CITY OF OP.ONO 512-473-7357 �p2 <br /> ' CITY OF OHONO - BUILDING PERHIT APPLIC1�T20N <br /> �� ' � -, <br /> � � � <br /> � Date Received: �'� `"" � � <br /> To�al F�e: S � <br /> Date Apprvved: <br /> � <br /> Entered By: persnit�= �C� � � <br /> AI,L I2JPORMATIOP MQST BB SIIBMITTED YN FIILL BP.�'ORE PI.AN REVILW SP��.L BB 3T1�RTED <br /> (See CheCk-off List EncloBed) _^__ <br /> -------------------------------------- <br /> �gE p,ppLICANT Z5: (cizci.e one) OwNER or CONTRACTOR ����� <br /> � / 2IY: <br /> JOB si� r�nDxsss s L - <br /> (work) <br /> T�PJY nr�rr� c�ti�c�nrr�r 1 PHONE: (home) <br /> NAME OF OWNER: - �. . - <br /> PLYMOUI'H� MN 55443 CZTy: �Ip' <br /> rS11SI,ZNG 11DDRESS 1 ' <br /> psorr�: S5 9• D,-2 S/ <br /> CONTRACTOR: ��� , . � _ <br /> 4 tC� Ct.tl{:3t!►RE GA�1E CITY: ZZP: <br /> lKAILING ADOFtBSS:__ PI Y�7r��t���a .MhO 5.5A�'L. - <br /> STATL' LICENSBs � �� � O <br /> � � S `, PHONE: �'7.7 I ' `I�`7�.-� " ����� <br /> ARCZITECT/SNGINEER:J c��� <br /> MAILING ADDR$SS: <br /> cz�r: zzP: <br /> REGISTRATION �k <br /> NAliE: <br /> ,/ Addition Accessory Structure Move <br /> TYPE OP ��= NeW�� RenoVdte Land Alteration <br /> Demo Remoael/Alteratiori <br /> PROPOSED WOR� (describe in de�.ail) : �� � �� � � L/��� <br /> ., <br /> � T " , � <br /> STO <br /> RIES t � SQ. P�BT OF EACH PLOOR t �'� /`` ` �'S� � /� I�(J bC. /� ' <br /> Na. OP BEDROOHSs� ��G$ STAI.ZS: ATT. .� pET• <br /> �la' � �3C� •�� - <br /> ESTIMATED CONSTRUCTION VALIIATION tescivaing laaa) = $�a <br /> Z hereby apply for a buildinq permit and I acknowledge that the information <br /> above is complete and accurate; thaandhw th theiStatelSuild ng Code;yithathl <br /> ordinances and codes of the City <br /> understand this is not a permi� and wozk fs not tv start without a permit; and <br /> that the work will be in areerdance with the approved plan_ <br /> � ��--� nAx�: ��l�� �� L��C� <br /> APPI,ZCIINT'S SIGNATURB: � L <br />