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� 1��18%94 16:z5 THE CITY OF OP,ONO 612-473-735? ��2 <br /> f - <br /> � CITY OF OAONO - BUILDING pERMIT AppLZC11TION <br /> � ��,> �'� Date Received: <br /> Total Fee: S J <br /> Date Apprvved: <br /> Entered By:_� Permit�: !�� <br /> — � <br /> �L I�OgMATIOP MQST BS SII$�ITTED IN PIILL BP-.I'ORE PI.AN REVILW WTI+L �S STI�RTED <br /> (See Check-off List Enclosed) <br /> ---^-^----..__ -�5:� (cizcle one)---�WNER o^ CONTR CTOR --------------M------- <br /> THE APPLIC�T � ZIPs_ v���`�— <br /> JOB SIT� �D�Sg s ���� <br /> (work) <br /> Tc?PJY rinr_t� c�n,�c�APrY 1 PHONE: (home) <br /> NAME OF OWNER: _- <br /> PLYMOUTH� MN b5443' CITy: ZIP: <br /> M2IILING 1fDDRESS s <br /> �aarr�: S5 • D,z s <br /> CONTRl,CTOR: _ . _ . �:� , � � <br /> 41C0 CL:tll:3111f1� GA�:G CY�: ZZP: <br /> MAZLING ADDRSSS: � , <br /> STATL LICENSSs 1� �� 2" � <br /> PHONE: <br /> AFiCgITECT/SNGINLER: <br /> cz�: xip- <br /> MAILING ADDRSSS: <br /> REGZSTRATjON � <br /> Nh!!E: <br /> Accessory Structure Move • <br /> TYpE OP i��= NeW �Addition Land Alteration_ _ <br /> Demo Rem�/Alteration Renovate <br /> �. /��. �� ' -- <br /> PROPOSED W�� (desczibe in detail) :� <br /> 87.'ORIES s� SQ• P�BT <br /> oF �cs �oo�: /�SS�/,�' 23 7 /L/� -Ziiu.aC <br /> NO. OP BHDROOMS s� r��GS STAI.I+S: ATT. DE�. <br /> ESTIIdATED CONSTROCTION VALIIAxION (�cl.udinq land) : S <br /> I hereby applY for a buildinq permit and i acknowledge that the information <br /> above is complete and eccurate; thaandhw th the�StatelB ild ng Code;,ithathl <br /> ordinances and codes of the City ermitt and <br /> understand this is not a permit and work he a�trovedtplan.��hout a p <br /> that the work wil I be in accordance with t pP <br /> DATE: <br /> �PpLIC21NT'S SIGZ7AT'LTRS s <br />