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. <br />LIT TLE <br />CADACITYOF <br />515 Little Canada Road, Little Canada, <br />Minnesota 55117 <br />'4 <br />� <br />/ •�� G- <br />PERMIT NO. <br />484-2177 <br />DO NOT WRITE IN THIS SPACE <br />r BUILDING <br />y 4� <br />Name <br />, <br />Permit Fee ............ <br />G y <br />' <br />f•, <br />State Surcharge • • • • • • • • • ' . ' • • • ' • $ ` <br />. <br />Z <br />Address <br />city �j�:`QL1I.,LL. <br />,• <br />Lj1 zip �'- �7�' 1� <br />Tel. No �' <br />f ` <br />Plan Check Fee .......'.............. $ <br />S t7 • C% <br />/ <br />SAC Charge (Units) .. • • • ........ <br />�. <br />Name <br />_..5AF � ........S U. Other....... .... .. •. <br />0 <br />Address <br />_ <br />l�:�/9 �� k' $ U. UCH t <br />cc <br />City <br />Zip <br />Tel. No. <br />$ • <br />WW <br />Name <br />Penalty .. ........................ i <br />> Z <br />Address <br />lr^*rAl ccC astn .........$ I i ,4w <br />UsOd As &4- 2one <br />NUMBER <br />STREET <br />M>^ WIDTH DEPTH SIDE <br />NOTIcr <br />AGATE PERMITS ARE REQUIRED FOR ELECTRICAL, <br />MBING, HEATING, VENTILATING OR AIR CONDITIONING. <br />3 ,,PERMIT BECOMES NULL AND VOID . IF WORK OR <br />ISTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN <br />MYS.OR IF CONSTRUCTION OR WORK 1S SUSPENDED OR <br />INDONED FOR A PERIOD OF 120 DAYS AT ANY TIME <br />'ER WORK IS COMMENCED. <br />f'iESY'GERTIFY THAT I HAVE READ AND EXAMINED THIS <br />►LMAT{ON AND KNOW THE SAME TO BE TRUE AND <br />WIRCT. ALL PROVISION OF. LAWS AND ORDINANCES <br />JERNING.THIS TYPE OF WORK WILL BE COMPLIED WITH <br />ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />t1NIT`: ©OES NOT PRESUME TO GIVE AUTHORITY TO <br />LATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />tTe' bR LOCU LAW REGULATING CONSTRUCTION OR THE <br />iienoeaeufW nF CONSTRUCTION. <br />Type of . <br />COIISt. <br />Occupancy. <br />Group. <br />Oivis�on x <br />, <br />Size of Bldg.Al I%f 2 <br />Stor <br />Occ. Load <br />(Total)Sq. F��/� <br />es <br />t <br />Fire <br />Zone <br />Use <br />Zone <br />Required $&SO ONo <br />. <br />IVo. of <br />OFF STREET PARKING SPACES.: <br />Dwelling Units <br />` 4 <br />Covered <br />Uncovered <br />t <br />Special Approvals <br />Required Received <br />4 <br />BOARD OF APPEAL <br />PLANNING CO Am <br />VILLAGE COUNCIL <br />SPECIAL USE <br />FIRE DEPT.' <br />} <br />SOIL REPORT'' <br />�'' !�.'• <br />OTHER <br />s <br />win, <br />HT ISSUED' <br />.;10 <br />ATE <br />ING OFFICIALr .. <br />