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cc <br />W <br />z <br />0 <br />O <br />CITY .�F LITTLE CANADA <br />515 Little Canada Road, Little Canada, Minnesota 55117 <br />� <br />BUILDING PERMIT NO �7 <br />Name <br />fi- <br />484-2177 <br />DO NOT WRITE IN THIS SPACE <br />2 Cl2c L1 / ()fie-- <br />C,4,Y •-str <br />City <br />Name <br />Tel. No. <br />Address <br />City <br />Zip <br />Tel. No. <br />Name <br />Address <br />City <br />Zip Tel. No. <br />Registration Number <br />Structure 0GiC7F -c <br />Used As G "2 rz?'%XUV -fr <br />Permit Fee S0296/, G O <br />'State Surcharge $ rJ e.7.03 <br />Plan Check Fee S l 95_,,,./ D� D <br />SAC Charge (Units) S y� <br />Sewer 3 S rlj0. 00 <br />Water s <br />Park $ <br />Other S <br />Penalty S <br />TOTAL FEE PAID Sc2 J /v! , /2 <br />Receipt No. Date <br />Zone <br />DEMOLISH BUILD <br />❑ <br />ADD <br />❑ <br />ALTER <br />❑ <br />REPAIR <br />0 <br />MOVE <br />0 <br />NUMBER <br />WIDTH <br />STREET <br />LOT <br />BLOCK <br />FRONT YARRD�/ SETBACK <br />ADDITION OR TRACT <br />No. of <br />Stories I <br />� � <br />12 <br />- Z—VULY <br />I <br />L'r <br />L'� . <br />.L <br />I. („922 <br />„Ka,,i 1'1 . <br />LEGAL DESCRIPTION // <br />WIDTH <br />LENGTH <br />HEIGHT <br />TYPE OF CONSTRUCTION <br />ESTIMATED VALUE <br />STRUCTURE <br />DETAILS <br />07/0 <br />NOTICE: Do Not Disturb <br />Natural Drainage <br />DETAILS OR REMARKS: <br />5 000Y <br />VAL FOR SURCHARGE <br />ace <br />NOTICE <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, <br />PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR <br />CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN <br />120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR <br />ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME <br />AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISION OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF C NSTRUC <br />SIGNATURE OF CONTRACTOR O77- HORI ZED AGENT (DATE) <br />SIGNATURE OF OWNER (IF OWNER BUILDER) <br />PERMIT UED <br />P <br />BUILD <br />G OFFICIAL <br />(DATE) <br />DO NOT WRITE IN THIS SPACE <br />Type of <br />WIDTH <br />DEPTH <br />SIDE YARD /SETBACK <br />SIDE YARD /SETBACK <br />FRONT YARRD�/ SETBACK <br />LOT <br />No. of <br />Stories I <br />Max. <br />Oct. Load 2j / <br />/ Ci <br />Fire <br />Zone _ <br />Use <br />Zone I -1 <br />-- <br />Fire Sprinklers <br />Reouired CI Yes <No <br />WIDTH <br />LENGTH <br />HEIGHT <br />TYPE OF CONSTRUCTION <br />ESTIMATED VALUE <br />STRUCTURE <br />DETAILS <br />07/0 <br />NOTICE: Do Not Disturb <br />Natural Drainage <br />DETAILS OR REMARKS: <br />5 000Y <br />VAL FOR SURCHARGE <br />ace <br />NOTICE <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, <br />PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR <br />CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN <br />120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR <br />ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME <br />AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISION OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF C NSTRUC <br />SIGNATURE OF CONTRACTOR O77- HORI ZED AGENT (DATE) <br />SIGNATURE OF OWNER (IF OWNER BUILDER) <br />PERMIT UED <br />P <br />BUILD <br />G OFFICIAL <br />(DATE) <br />DO NOT WRITE IN THIS SPACE <br />Type of <br />/ <br />Occupancy <br />Group n <br />(� <br />Division <br />2 <br />Conat. �( <br />Size of Bldg. //�/ t2 <br />( Total) So. Ft / <br />9 7Z-67 <br />No. of <br />Stories I <br />Max. <br />Oct. Load 2j / <br />/ Ci <br />Fire <br />Zone _ <br />Use <br />Zone I -1 <br />Fire Sprinklers <br />Reouired CI Yes <No <br />No. of <br />Dwelling Units <br />OFF STREET PARKING SPACES: <br />Covered <br />Uncovered <br />Special Approvals <br />Required <br />Received <br />Not Require° <br />BOARD OF APPEALS <br />PLANNING COMM. <br />VILLAGE COUNCIL <br />£- <br />c <br />507/ 6) <br />/ �o <br />SPECIAL USE <br />FIRE DEPT. <br />ge 61 <br />