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�, 1�i18�'94 16:25 THE CITY OF OP.ONO 612-473-7357 ��Z <br /> + } CITY OF OAONO — BUILDING �E�I� AppLZC1�TION <br /> Date Received: <br /> Total Fee: S '� �C>'� � � <br /> Date Approved: <br /> Entered By: ���� Pezmit�=.,_ �2 ��' <br /> A7'IOR MQS� gB S�MITTED YN PQLL BP.F'ORE PJ�N REVZLW W�� �B 3T1�RTED <br /> AI,L ZNPOR2�i__^----------�SeeMCheck_of f_Li st-Encl�-- )�- ----------__ ------- -- <br /> _ _"- <br /> ���p�I�� Ig: (cizcle one) OwNER or CONTRACTO �S3 S � <br /> Jos sz� AnDxsss= <br /> zG9s �, . �J ��p= <br /> (work) <br /> T��PJY CI��C1J Cnti4F'ACJY� PHONE: (home) <br /> N}1ME OF OWNER: : ZIP: <br /> PLYMUUI"H� MN 55443 CZ�y: <br /> M1IILING 11DD�S= � <br /> PHONL: S-� • C� � <br /> CONTRACTOR: _ - - • �:� , • • ZZY: <br /> 41C0 CI:Il{'w^111f1E LA�.E CITY: <br /> 1�iAILING ADDRSSS: � , <br /> STATL' LICENSgs � �� � O <br /> PHONE: <br /> ARCgITSCT/BNGZNEERs <br /> CITY: ZIP: <br /> MAILING ADDRBSSz <br /> REGISTRATION � <br /> N11PlE 3 <br /> / Move . <br /> peH (/ Addi.tion Accessory StruLandeAlteration <br /> TYpE oP ��= Renovate - <br /> Demo Rem�/Alteratiori <br /> _ - CS�.��H/►/ � <br /> PROPOSED WOR1C (deSCzibe in detai�) : <br /> � � �ooR= 2350 - /.s•� ��f/o- 2•�.aL /9'� <br /> S'T.ORIES s /�'_, SQ• P�BT OF P•ACg <br /> N�. OP BHDROOMSs� <br /> GARAGB STAI.LS: ATT. DE�. <br /> �3 � SO� <br /> ESTIIrlATED CONSTROCTION VALIIATION (�Cludinq <br /> l�a� : s i <br /> z hereby app1Y for a building permit and I acknowledqe that the information <br /> and with the State Huilding Code; that I <br /> above is complete and dccurate; that the work will be in conformance with t e <br /> ordinances and codes o� the City <br /> underatand thia is not a accordance ith t e approvedtplan.��hout a permit= an <br /> that the work wi�I. be �n <br /> DATE: <br /> APPLICI�NT•3 SIGNATQRB= <br />