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`��^�Ju1 � 31 � 2001�� 3 � 46PM ELDER-JONES BUILDING PERMIT SERV 09/24/9�No , 1499� LP � 2/23� <br /> � r _. = <br /> . � ' Tabal Pee: $ �� /� �'� Aato Received: � 7/- � / <br /> V' � �Entered H y: � P e,�m i�t�: �c-f-/y-_ <br /> �,,��� �ITY OF OROlrTO - �IJIT,DING �RN�IT APPLICATION <br /> Alt�n�ormadon must be aubmitted in �ll bet'o�re pla,u review w�U be �tarted. <br /> . (plea�e pNnr alr l�ormarion) <br /> • .........�....__�—_—____._..r_.-..,�_....�..,..,-..�....._.. , .. _.........r,.._,. ._...,�------- ---------_----_ <br /> 1'H� �Px:ICA►1VT YS: (circle oae) Q'WNFR OR CONTRAC'COR � <br /> • , � ky <br /> .� ro� sY�AnA�ss. f ' �: ��?,� I ��. <br /> . � . <br /> .j �r� o� ovv�:� ��. � ��i11�_ �orrE: ti�> s . .�ac� <br /> (work)� , _ <br /> MAIY.II�iG A�DD1tESS: � � GTTY: ,T.TP: <br /> COl'�1'I�CTdR: Reuewa�ay Andarsen � . ,. <br /> 350-73xd Ave.N� �' <br /> �. C�NTAC'f PE•R54N: F�dley,MN 55432 �' . <br /> ' ' �1��]11(G��:_ 763-502-4777 Z�: . <br /> ��+A� �C��: �f #M�i20130983 <br /> , ABC�TECTO�NGINE�R: PHONE: - <br /> 1��.TNG ADDRSSS: C'�'I'Y: Z�: ' . <br /> NAME: REGISTRA'TION� <br /> TYPB OF'VIrORK: New � Add{tion�,,, Aace�sory 3aucau� <br /> Mov� RemodellAltexadvn Land Att�ration .. <br /> �O �4RY�(describe fn detai�: � . <br /> . <br /> S1't�xtl�S: � SQ.FBET OF EACH FY.00R: - <br /> � <br /> . 1�10. OF BED�OOMS: � � GARAG�STALLS: ATT. DET: <br /> �AT�D C011T8TRUC'1?ON VALUAI'ION(�oeludfn�lan�: � 00 <br /> I hdr�by epp#y for a bullding permit and I acknowledge that the inforntacion above is_comple�e erd <br /> accurate; tbat the w�ork will be ln confnrrqanc��wit,h the orc�inan�ces and �odes uf the City and with <br /> , ' the State Building Code; that I un�deretand.dus is not�permit and work is n�ot to stait wlttwut a . <br /> , <br /> permit; and that the work wil�be in eccozdat�ce w�th che �pproved plan. � � <br /> hPPLICANT'S SIGNAI'UIiE• �pjTg; � •O <br /> JV�OTE! Par�de of� even�s r�qr�fre aepaAate�erm�'t gpprovullhy Pal�ce Depo�'h�eAt and <br /> Ci'ty �o�cnc�l d0 dr�ys prtor do the event. Non-�ermiued ave,Rts wdl!aot b� �rlowed <br /> Fneoiuna Tim„ c.. �e � . ��nu n.. �. � �• � ., . . ..... <br />