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2 <br />W <br />z <br />0 <br />UU <br />cc <br />°., ti cc <br />~w i W <br />UU <br />�z <br />Structure <br />Used A <br />; �O / ;i _ 484 -2177 <br />BUILDING PERMIT N0. -., • <br />CITY OF LITTLE CANADA <br />515 Little Canada Road, Little Canada, Minnesota 55117 <br />Nana 'A > n/7��!/ <br />DO NOT WRITE IN THIS SPACE <br />Address <br />City <br />N ce r EL' + <br />%A <br />"{�1:� ;'•Zip <br />Name <br />Tqi. No. <br />Oiv ro,,sir <br />Address <br />City " -,E4-c- <br />TtiC <br />iiPtrp;,ya Tel', No <br />Name' ,DO nl � /9J( i Nt�il./� <br />Address ... '» <br />city »/914'` `»f <br />Registration Number. <br />Permit Fee g 410 $ S' y, D <br />State Surcharge ' • <br />Plan Check Fee ` <br />SAC Charge (Units) � is %s -725 . O <br />s _2oo. too <br />Z;p4-5—,/32 Tel. No.7,1 - /7a -S <br />Zone <br />• <br />"DEMOLISH `. <br />BUILD <br />NUMBER <br />Occupancy <br />Group <br />:' STREET <br />LOT <br />BLOCK <br />;: ADDITION OR TRACT <br />-. <br />. q :'' <br />c' <br />�_% <br />Fire Sprinklers <br />Required ['Wes r:•Io <br />.' <br />l a c ` t - rve1; jse <br />R4.1577i ( <br />LEGAL DESCRIPTION <br />r /774/ <br />WIDTH <br />DEPTH SIDE YARD /SETBACK <br />SIDE YARD /SETBACK <br />FRONT YARD SETBACK <br />LOT <br />SIZE <br />WIDTH <br />LENGTH <br />HEIGHT <br />TYPE OF CONSTRUCTION <br />ESTIMATED VALUE <br />STRUCTURE <br />DETAILS <br />NOTICE: Do Not Disturb :).' DETAILS OR REMARKS: <br />Natural Drainage <br />..,,.:...,,..•:;;.,.,,,.NOTICE <br />VAL FOR SURCHARGE <br />y%yoo _ <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 />I 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 />S <br />• TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE „-' <br />PCRFORMANCE OF C NSTRUCTIO I/ 2 <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT`(DAyE) <br />SIGNATURE OF OWNER (IF DINNER BUILDER) <br />__PERM/ J ISSUED <br />• <br />BUILDING OFFICIAL <br />(DATE) <br />(DATE) <br />DO NOT WRITE IN THIS SPACE <br />Type of <br />Const. <br />Occupancy <br />Group <br />Division <br />.� <br />Size of Bldg. <br />(Total) Sq. Ft. " ":; " ' -'" <br />/U ?o ` <br />No. of <br />Stories " ' <br />.Si°L.'r <br />Max. <br />Occ. Load J• <br />Fire <br />Zono <br />Use <br />Zone <br />Fire Sprinklers <br />Required ['Wes r:•Io <br />No. of <br />Dwelling Unita <br />* i"•: <br />OFF STREET PARKING SPACES <br />.. <br />Covered . <br />Uncovered <br />Special Approvals <br />Required <br />j Received <br />Not Requlrea <br />BOARD OF APPEALS <br />:4 -�, -• <br />x-_• <br />.. <br />,..�.... <br />PLANNING COMM... <br />'.f <br />1 <br />.. <br />- 1JdAGE000NCIL <br />'SPECIAL USE - <br />FIRE DEPT. > <br />SOIL REPORT <br />OTHER ' <br />1a <br />