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RECEIVED 10/08/2013 13:34 19529555171 ALL PRO XTERIORS INC <br /> . . 8-i0-�3; 1 :02PM; ;Beta Te�hnology # 2/ 2 <br /> 10/08/2013 12:Z2 19529555171 ALL PRO XTp�ZQRS INC PA(a� 02/02 <br /> City of Qrano <br /> Building ermit Appiication #or M�ir�tenance 1 Replacement/ Renovation <br /> {No tructuet�l expansion. �n1y windows, doars, siding, re-roof, e#c.) <br /> ��V �a O eox 66� pefmR nurpbgr; --�S <br /> cysca��ay,n�N ss�3-ooee aac�reae�,_ D--k�3 <br /> snser Address: R�br- <br /> �� ZOron MN 55356 y P1Bn review fee; , <br /> s Q�, . <br /> rora�r-ee: . /� �. Q2� ' <br /> Mlg • 952-24g�gpp Fax; 852-249-461a wy�w.cl.oeono.mrt.us <br /> Th applicatian fam mumt kye campleted in full and al[required information must be submitted. <br /> �ncompte�e applications wll be returned. (Pl�as�prinf) <br /> G�NERAL INF RMA710N: <br /> Job SifsAdd ��.g3 h70� .S�Df� �� <br /> �ll this be a P rade of Wornes,Rempdelers SheM►c�se Home�r other Display Home? Yes � pb -' <br /> �►Y�s ap�er panrx rs'reqr�a wm►AalJcc oepge�t�e cYy c:orarcg appravar ao aaya pifor ta tne cvene snc�e eua scrvic,�w,�1» <br /> unless ePP�d�s Br�Jer#arfsAle parking Js aironaele. Nc�r,naae�er�e»es w,�r net r,e aAbwed. <br /> CONi'RACTOR APPLJCANT tNFORMqTIpN:. <br /> Narrte: A,► Aeo xk.w+ ��e.. <br /> St�te license# aC. �!S�'L g Expire�on Date� � '3�• �S <br /> Lead Certific.�fi Number. NA 1'" �1 b'7 y�t�-1 ' 6cpiration Gate: j •-� � <br /> (11br work on tllat rre�can.4#�vcded prior t0 f878 <br /> Pno►�e: co���) 'ir1t, '7y'7-t'�7S cat�ice). �Sx� �56� '753� <br /> MaE1ingAddress� �iZ9t b �ve N sv�'�c 1D c�y_ � c z�P: S53 <br /> Cants�t Person: �r� {�s t1.�1 APP��� r / fiameoumer jc,oi.a„� <br /> Emai3 andlor F ' a1t � ,aq�KOKflral�S /w�C.C�N� <br /> PROPERTY R lN�ORMA'riON: � <br /> Name: S�� �s1er <br /> Phone(daYl� "ISz '*�l"[1•�B Y <br /> Addreag: ljS3 I+.� Sko�< c� w <br /> �Y 4 �a� Z�p: s53ti <br /> F,mail and/or F <br /> PROJECT tNF RMATIQ ; Overall pro'ec,t descri ion; <br /> Typs of Projep� Any ewAh mo�vem��may slao rvqulp <br /> Q�oor(6) C)�ode� ❑Fra Damasa Mcwo re,�iaw d,permies: <br /> �.�Pha �RE�eir �Stoim Darrtage Minnehaha Creelc Watershed Dishrict(MCWp) <br /> ❑Re-roof,C9dd� ❑Re.stordtion ❑WBt�Dam e - D 2 0 2 M i11AEton k a l 6fvd <br /> a9 eepha�er+.MN 5339� <br /> ❑Re-roof�olhor f I[y] ❑�dng ❑Othe�"(specfFY) Phooe: 952�171-059Q <br /> Fax 952�71-0862 <br /> ❑Wlndow(s) �y�in hacre�lc.ora <br /> Fstirnated Ca ction valuat�on af Project(excluding land) $ 'I D• , <br /> APPLICANT A owL� �MENT: . <br /> • �I�B66 ED P �d4 all in(D�►I1atiVfl�2QGI1�9d OC leQuestod by�BuiId�Y19 DePartrnen� <br /> • GerGfies that e intormstion supplied is true and can�ect to#ha best ot hislher Ia�oNAcciQe. The aPpficant recognizes tfr�t they ars <br /> solelY r+espon 'ble fw subrhittino a corttplete�pplication being awa�s th�t�on failure t�do so,ihe steff hss np aRemstiye but tip <br /> �!��t unb7" ie�npleta; <br /> . Same or 8�1 !hc information thet you aro asked to proviya vn thf9 appUcaGen iS classifietl Dy Srdt9 YdW 85 ei�tler priv2[2 Or <br /> aonfidentiat. rim+ate data is iMam�ation which generalfY�nnat be g'rvan to�he Public but can be 9�n tv tt►e suhjeot aF the data, <br /> ConfitleM+al ta is informpdon which gQner�lly cannot be given to either lf�e pu6�c w the sub�t of tha data Our Puraose acid <br /> intended use this ir�ivrm ' is�armualty upde�0�our�ee�tls ane ree:orr�s ot otlter 9vvemmwrtsi agon�ie�rvquir4d by lew. If <br /> ou rrsh�se tn u the' ' n et li ' <br /> Applic�rTrs Sig p�� <br /> Owners Signatune Date: �C�l��� <br /> LaGt uadnca: 3 <br />