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cc <br />W <br />Z <br />0 <br />cc <br />0 <br />0 <br />Z H- <br />O <br />¢ <br />UCC <br />F <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 Dv, cp /J /t.474 <br />Address I C., 10 ST / C( i( 17 71 /10 E7-') <br />ZipS5)0 Tel. No.7 )f/ pq e <br />/ <br />City c;-7--, r� I <br />Name <br />Address <br />S.1ni 1 -' <br />City <br />Zip Tel. No. <br />Name <br />(_1\ "�f�- Ici /7�t'SS <br />Address S s <br />cityf11j>( <br />)t,r Q uJCQ.±L 0. <br />Zip Tel. No.'72i -35 <br />Registration Number <br />Permit Fee $ <br />State Surcharge $ <br />Plan 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 />structure !_ <br />Jsed As <br />-L- <br />k. <br />Zone <br />DEMOLISH <br />BUILD <br />ADD <br />ALTER <br />0 <br />REPAIR <br />0 <br />MOVE <br />0 <br />NUMBER <br />STREET <br />LOT <br />BLOCK <br />ADDITION OR TRACT <br />Max. <br />Occ. Load <br />tip; 11,4W/t/2:77- �JC <br />10 <br />2 <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 />75 <br />/ 7.5 <br />WIDTH <br />LENGTH <br />HEIGHT <br />TYPE OF CONSTRUCTION <br />ESTIMATED VALUE <br />STRUCTURE <br />DETAILS <br />C( riic <br />DETAILS OR REMARKS: <br />600 <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 QF ANY OTHER <br />STATEAR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PER5ORMANC OF C NST CTION. <br />h ,� 1 ,� .i7 thZ) ) <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 1 ATE) <br />SIGNATURE OF OWNER (IF OWNER BUILDER) <br />PERMIT ISSUED <br />(DATE) <br />BUILDING OFFICIAL (DATE) <br />DO NOT WRITE IN THIS SPACE <br />Type of <br />Const. <br />Occupancy <br />Group <br />Division <br />Size of Bldg. <br />(Total) Sq. FI, <br />No. of <br />Stories <br />Max. <br />Occ. Load <br />Fire <br />Zone <br />Use <br />Zone <br />Fire Sprinklers <br />Required OYes DNo <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 />1 e� <br />OTHER <br />