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CITY OF FALCON HEIGHTS <br />207 Larpenteur Ave. West, Falcon Heights, Minnesota 55713 [page 8 of 1 <br />Phone: 651-792-7600 Fax:651-792-7610 8l <br />BUILDING PERMlT N ~' ~~ - <br />w ~rc? DO NdT WRITE IN THIS SPACE <br />Addres ~ Permit fee .... . <br />hone No. $ ~' ~~ <br />O C a.. ~ v GLI . Sta#e Surcharge ...... ...... <br />~~. `~ Zip Code Pfan Check Fee ....... ..... $ . $ D <br />N~~° SAG Char e $ <br />C ~ } 9 (Units) ...... $ <br />....... <br />a Address i "~' 't-R--~ Other.. , , , .. . <br />O ... ............ $ <br />I-- City <br />U Zip Code ...................... $ <br />Z 7~tso2 ... .......................... g <br />~-~.` ~~y3 Fax no. Penalty .......... . <br />~ PagerlCstt~lar TOTAL FEE PAID $ <br />MN License # Receipt No. ~ 5 $ ~ <br />--~-._ Oate <br />~ ~lddresa / Class of Work D New <br />~> D Addition <br />p o Property l.p, No, '' ~c--R ~lJl~• D Alteration O Repair <br />props T e ©Garage pother <br />Q rtY yP : Residential Commerclel F <br />~ Totat 5q, t. <br />Cincle one) <br />WIDTH flEPTH SIDE YARD SETBACK SIDE YARD SETBACK FRONT' YARD S <br />LOT <br />SIZE ETBAGK <br />WIDTH LENGTH HEIGHT <br />STRUCTURE TYPE OF CONSTRI ir'7inw~ ~,._.... <br />~trv ,~ 011~~(AC' 6C>tP cT ~'~~ suibeyVark~ ~r <br />Ytt~vve ~+'t1~~- .f.z,r,~ uy/+aia - ~ too , <br />3 ~lr ~ n,rl <br />NoncE <br />' SITE PLAN REQUIRED FOR ALL ADDITIONS, GARAGES, FENCES, DECKS. <br />' SEPARATE PERMRS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING <br />VENTILATING OR CONDITIONING. <br />' PERMRS REQUIRE A MtNtMUM OF 48 HOURS OF APPROVAL DEPENDING <br />UPON PROJECT. <br />' DURING THE SPRING THAW pERtOD. CONTRACTORS MUST OBTAIN <br />PERMISSION TO 8RING IN LOADS WEIGHING OVER THREE {3) TONS, <br />' THIS PERMIT BECOMES NULL AND VtSlp IF WORK OR CONSTRUCTION <br />AUTHORZED tS NOT COMMENCED WRHIN 120 GAYS OR IF CONSTRLK;'pONS <br />RO WORK IS SUSPENDED OR ABANDONED FDR A PERIOD OF 120 DAYS AT <br />ANY TIME AF1ER WORK IS COMMENCED, <br />' 1 HEREBY CERTIFY THAT f HAVE READ AND EXAMINED THIS APPLICATON <br />AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION OF LAWS <br />ANO ORDINANCE5 GOVERNING THIS TYpE OF WORK WiLI 8E COMPLIED <br />WITH WHErHER SPECIFIED HEREIN DR NOT. THE GRANTING OF A PERMR <br />DOES NOT PRESUME TO GNE AUTHORRY TO VIOLAI7: OR CANCEL THE <br />PROVISIONS OF ANl' OTHER STATE OR tOCAi LAW REGULATING <br />CONSTRUCTION OR THE PREFORMANCE OR CONSTRUCTtpp1 <br />SIGMA E OF C R AUTHORIZED AGENT <br />( TE} <br />TURF WNER (IF OWNER 15 BUtLDER} ~ I'f o7 <br />-~ PERMIT ISSUED ATE) <br />BUILOMtG OFFICIq! <br />utl ? ~ i U <br />20NING CODE REV-Eyy (If APPLICABLE) <br />rn bac ~ ~LGI~ VAL FOR SURCHARGE <br />~'~)a,n Iry,k f~~ aL- Gt ~~e' h <br />SPECIAL CONDITIONS <br />• <br />SHAREOtFORMS1Zantng and BuildMg FomtslButKiing Permit OS29a5.CoC <br />