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5-2(�-1 �_��_��_� �: I 8AP 1 F�UP 1 T4U I P�,1 C I T'r" Ei::TE�I U�`� Ei 1�' 4�'S 6457 P. I <br /> C.t i T :�l� liKOfYO � G��4t30�'10 U41�419t3 Oc5:59 �' :0'i/U� N0:36� <br /> � �To�1,���: $ oa � o s q <br /> � _ Date Rfi�eived: s.•.Z � <br /> �i=i«d By: Per�it#: � ! � <br /> . +�---�-� <br /> CgTY ��' pRfJi�� - �3�,n�N� ��RriII'T APP�.��A,TIQI�I <br /> Ail ls�Yormation must be s�bm�tted !n f�ll before plan review wiiI be started. <br /> (plea.a'e pr�ttt al!ir{fornutlion) <br /> ......�.wY..�.....--�--------�_..,,.____........----------------- - - �- -------�------__---------------�------------ <br /> �i� �'PLi�CA.NT T5: (circXe one} OW'T�*"ER OR �ON'X'22ACTOR <br /> dbB SITE ADY}RESS: � - � � ZIP: � r <br /> �'�,1��', �r+ OWt�i�: L�.L�� ��L1�'iL�L2���� ����': (�'ib1�7lC). �U7-��Ir�� <br /> (WOr}f) S��-�-.x? �a� <br /> 1���,I.rIG��T�lEZ�5S: � . J�I� CI'I"Y• — Z�-- <br /> �..,._,.� •,,.� <br /> ��;��'��'X'��q; 7WIN C,ITY �XTERIORS C0. , If��C. p�[(��; (612) 425-4757 <br /> C�I�`'�'A��'T�'ERSUN: JQH�J JORUD/CLAUDIA 3V�f���,�Ii't#GE�Z: �V/A <br /> n�T.A�IGAJQIIR�S�: 9GG0 �ACHARY LAAJE N. 1,f10��C�TY: MAP!� ��GVE Z�P:�,536g <br /> ST�,� LIC7E�iSE; � 2 5�5 �'� <br /> A�C��TECTIk�1�iGI1�I�ER,: ��IdN�: <br /> :��LtN��n�5:� _ CI'1'Y: zIP:�.....�. <br /> �d�: R�GIS"�`!tA'Tla:ti# --- <br /> �� OF �'ORK: Ncw Additio�s Accc�sozy Struciur� <br /> Mave �RemodCtlAlierstion�_ Land C�.lt�ration��� <br /> PR���SED WORK(dest�ribe in drtain:����1 L�� _. ___ <br /> �'��:'`°�S: �,.. �Q.��T OF EACH FLt7t3R: <br /> �a'Q, t�F BEARQQI�'1S: �ARAG� ST�iLLS: ATT. DET. <br /> ES"i'�1'y1ATEI� ��N�'I"RiJCTTClN"VA�.UATION Ccxc3�dl�g Iana): � <br /> Y Yzcr�cby apply for a builditlg penuit and I acknowledge shat thc informatEon above is c�mglete and <br /> accurate; t�c chr work wi]! be in conformancc with tl� ordinances a.�d codcs of thc �iry aa�sl with <br /> thc St;�ic B�z�iditsg Cvd�; ihai I undsrscarul �iis is aot � per�m.tt and w�rh is not to start wlthout a <br /> permic; e,nci that thc wark wili b� in accprd�ncc with Ihc appcovc� plan. <br /> A.P�'i.ICA.trtT'S S��!`IATU�Et,E: � DA�: � [�[,,"�� <br /> �'4�':: P.ar�nf gI'ontes tven r�qutr� separut�permtt approval by Pa1�ce Depart�rsenl and <br /> �ity Counc�i GO days pr�vr!p lhe �venl, Non perrrritted evsrsds w�l!not be ctll�wed. <br />