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�6/�4r9� 1E�:2E THE CITY �F ��ONd 612-473-^r35^r ��� <br /> CI'1'Y QF QRaN4 - BOILDING FEItMIT APPLICATION <br /> 7�- ' nate AQaeived: <br /> Total Fe�: $ `� � � ,-„ //.�./� ' <br /> � - - - <br /> Date Approved: <br /> En�ered By: �'� • <br /> perm��.#:�i���� <br /> ALL IN170YtMATION MIIST BE SOSMITTED IN FIILL SSFORS PLAN R�VYEW WILL BS $TAItTED <br /> ----------------------------�---------�-��___--_� <br /> +pgg Ap1a�YC1�hiT IS: (circle one) OWNER or CCINTRACTOFt <br /> )L" �.� ��. _, <br /> Joa sITE 2�wnxEss: .S , �- �f' �k�� , z�k: �� :� � � <br /> (wark) <br /> ���' home / � `�`� � <br /> : " <br /> ��� � P��: ( )�� � -�� , <br /> �� aF owrrE�s � � >��� � ��" � '�- - �; _ <br /> , , 1 <br /> MAILING Abb�SB:�L'�� - �- `���� CITY�� , � - Gz-�; ZIP: , ��. �� <br /> � ` <br /> � „ � <br /> 'r9/� t!t�� �� PHONE: ��'J J � �� <br /> i .1—� 2 ` �� <br /> CONTRACTOI�s__� - <br /> MASLING ADDREBS: 1�-- � / ,11 I ,� CITY: ( �'�.���(i _ ZIP:���� <br /> � � <br /> �pg p�r yQpg�, ��� AdcTition Accessary S�ructure Move <br /> Demo Remodel./A1�er.atian�_ Renovate L�ild Alteration�_ <br /> j ��� �r/ ,' ; � � /�� <br /> PROP88E� �PdRR (deBeribe ia detail) : <br /> / �-_ ` ' / <br /> c- .L,,f.>�, G `' . <br /> ,%� <br /> BTORIESi SQ. FSET OE� �RCS F��GRs <br /> p�. Og ggpg,p[��g� GARx1G$ STALLS: ATT. DET. <br /> - '�� S2l' , ��:' <br /> LSTIMATBI) GQNSTRIICT��N VALpATION (�xcluainq Zand) : $ l - - <br /> Z hereby apply fQr €+ bui].ding permit an� I acknowledge thati the i.z��ormatio. <br /> above is comp lete and aacurate; �hat the wozk w� 11 be in canformance w��h��h <br /> ordinances and codes of the City and with the S�a�e �uilding Code: <br /> und�rstand triis is not a �ermit and work is not to start without a permit; �n� <br /> thst the work will be in aca dance with th� approved plr�n. <br /> . /; <br /> ,�//.� I1 � <br /> �, ' �';,,% ".�/ pATS: � <br /> APPT,YCl�.iT'S SIGIitAT17RE: ��, .�'' '_ . . <br /> . .. . -.;. <br /> , (Pa.et��e f3X1. aut �he rever�e sida v . ' . �.� ,... . <br /> . .... f �'�khis form) � , <br />