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cc <br />W <br />z <br />0 <br />CITY 'OF LITTLE CANADA <br />515 Little Canada Road, Little Canada, Minnesota 55117 <br />BUILDING PERMIT NO 484 -2177 DO NOT WRITE IN THIS SPACE <br />Name <br />Address <br />r <br />City <br />Zip 3 Tel. No <br />Name <br />Address <br />City <br />k <br />CU-1K/ Ls <br />Zip <br />> Tel. No. s/ <br />ow <br />W <br />Fw <br />Z <br />SU <br />U <br />¢ Z w <br />Name <br />Address <br />City <br />ZiP <br />Tel. No. <br />Registration Number � !'- <br />Permit Fee $ <br />State Surcharge $ <br />Plan Check Fee $ <br />SAC Charge ( Units) $ <br />Other $ <br />$ <br />Penalty $ <br />TOTAL FEE PAID $ <br />Receipt No <br />Dat e <br />Structure <br />Used As - <br />Zone <br />DEMOLISH BUILD ADD <br />ALTER REPAIR MOVE <br />NUMBER <br />STREET <br />LOT <br />BLOCK <br />ADDITION OR TRACT <br />Max. <br />Occ. Load <br />Fire <br />Zone <br />Use <br />Zone <br />Fire Sprinklers <br />Required _-Yes CNo <br />No. of <br />Dwelling Units <br />LEGAL DESCRIPTION <br />WIDTH <br />DEPTH <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 />DETAILS OR REMARKS: <br />VAL FOR SURCHARGE <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 />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 />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />�'- <br />F.Lj <br />SIGt4ATLUR• OF CONTRA TOR 0 AUTHORIZED AGENT (DATE) <br />SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) <br />PERMIT ISSUED <br />BUILDING OFFICIAL (DATE) <br />00 NOT WRITE IN THIS SPACE <br />Type of <br />Consl. <br />Occupancy <br />Group <br />Division <br />Sizeof Bldg. <br />(Total) Sq. Ft. <br />No. of <br />Stories <br />Max. <br />Occ. Load <br />Fire <br />Zone <br />Use <br />Zone <br />Fire Sprinklers <br />Required _-Yes CNo <br />No. of <br />Dwelling Units <br />OFF STREET PARKING SPACES: <br />Covered <br />Uncovered <br />Special Approvals <br />Required <br />Received <br />Not Requires <br />BOARD OF APPEALS <br />PLANNING COMM. <br />VILLAGE COUNCIL <br />SPECIAL USE <br />FIRE DEPT. <br />SOIL REPORT <br />OTHER <br />• 01= <br />