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CITY OF LITTLE CANADA <br />BUILDING PERMIT NO <br />515 Little Canada Road, Little Canada, Minnesota 55117 <br />484 -2177 <br />DO NOT WRITE IN THIS SPACE <br />Name <br />Address r=,� <br />City <br />Name <br />7J . ZiP No. . <— J <br />Address <br />City <br />Zip Tel. No. <br />E- <br />L) W ¢ <br />HW <br />ZW <br />_ <br />0Z <br />¢ <br />Q W <br />Name <br />Address <br />City <br />Zip TeL No. <br />Registration Number <br />Permit Fee $ <br />State Surcharge $ <br />Pian Check Fee $ <br />SAC Charge (Units) $ <br />Sewer $ <br />Water $ <br />Park $ <br />Other $ <br />Penalty $ <br />TOTAL FEE PAID $ <br />Receipt No. <br />Date <br />tructure ('`� <br />)sedAs X91 /-r •y__.'r` �� . <br />Zone <br />DEMOLISH <br />BUILD <br />c. <br />ADD <br />0 <br />ALTER <br />0 <br />REPAIR <br />MOVE <br />0 <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 LlYes ONo <br />No. of <br />Dwelling Units <br />LEGAL DESCRIPTION <br />WIDTH <br />DEPTH <br />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 />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 />SIGNATURE OF CONTRACT,OR.DR AUTHOR I D %AGENT (DATE) <br />//61 <br />(DATE) <br />SIGNATURE OF /OWNER (IF OWNER BUILDFR) <br />PERMIT ISSUED <br />BUILDING OFFICIAL (DATE) <br />DO NOT WRITE IN THIS SPACE <br />Type of <br />Consl. <br />Occupancy <br />Group <br />Division <br />Size of Bldg. <br />(Total) Sq. Ft. <br />No. m <br />Stories <br />Max. <br />Occ. Load <br />Fire <br />Zone <br />Use <br />Zone <br />Fire Sprinklers <br />Required LlYes ONo <br />No. of <br />Dwelling Units <br />OFF STREET PARKING SPACES: <br />Covered <br />Uncovered <br />Special Approvals <br />Required <br />Received <br />Not Requirea <br />BOARD OF APPEALS <br />PLANNING COMM. <br />VILLAGE COUNCIL <br />SPECIAL USE <br />FIRE DEPT <br />SOIL REPORT <br />OTHER <br />e <br />