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L k /`.K /\.L <br />515 Little`Canada Road, Little Canada, Minnesota 55117 <br />BUILDING PERMIT NO. / <br />484 -2177 <br />DO NOT WRITE IN THIS SPACE <br />Name -V , ,/ :r.,,- - <br />Address _,7-,r; <br />City ..77/i % <br />L <br />-2 C.].) ; <br />Zip --� Tel. No. ./O _ <br />Name <br />Address <br />City <br />971 �C <br />TeL No.` <br />Name <br />Address <br />City 1, <br />Registration Number <br />:re / <br />.s <br />(9 Tel. No �� <br />Permit Fee S X /:- a <br />State Surcharge , ,2V0,40ef ittp $ %•, 5 1 <br />Plan Check Fee $ ` <br />SAC Charge (Units) -2 $ <br />Sewer $ �21I, /'c <br />Water $ <br />Park $ .2cC-' . C Z <br />Other $ <br />Penalty $ <br />TOTAL FEE PAID $/515-J � <br />Receipt No. Date <br />DEMOLISH in <br />❑ n <br />BUILD <br />ADD <br />ALTER <br />REPAIR <br />0 <br />MOVE <br />❑ <br />LEGAL DESCRIPTION <br />WIDTH <br />\./ _7 F <br />1CTURE <br />i1LS <br />DEPTH <br />WIDTH <br />SIDE YARD /SETBACK <br />carallam �. <br />nsgra <br />'EMA 1 <br />FRONT YARD <br />SETBACK <br />TYPE I F CONSTRUCTION <br />DETAILS 0 <br />0 /.,V tZZ / co , <br />ESTIMATED VALUE <br />-7s; c <br />VAL FOR SURCHARGE <br />99oso - <br />NOTICE <br />,RATE PERMITS ARE REQUIRED FOR ELECTRICAL, <br />/BING, HEATING, VENTILATING OR AIR CONDITIONING. <br />PERMIT BECOMES NULL AND VOID IF WORK OR <br />!TRUCTION AUTHORIZED IS NOT COMMENCED WITHIN <br />AYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR <br />!DOMED FOR A PERIOD OF 120 DAYS AT ANY TIME <br />R WORK IS COMMENCED. <br />''EBY CERTIF Y THAT I HAVE READ AND EXAMINED THIS <br />(CATION AND KNOW THE SAME TO BE TRUE AND <br />:ECT. ALL PROVISION OF LAWS AND ORDINANCES <br />.RNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />11T DOES NOT PRESUME TO GIVE AUTHORITY TO <br />1TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />ORMANCE OF CONSTRUCTION. <br />JU E`(JF CONTRACTOR OR AUTHORIZED AGENT (DATE) <br />` % <br />1 �iC ►l &ti, <br />.TURE OF PWNER (IF �+�' NER BUILDER) <br />PERMIT,ISSUED <br />(DATE) <br />DO NOT WRITE IN THIS SPACE <br />Type of <br />Occupancy <br />Group <br />Division <br />JMBER <br />STREET <br />No. of <br />Stories <br />LQri) , <br />BLOCK <br />ADDITIOy OR TRACT <br />Fire Sprinklers <br />Required Yes he No <br />/p2G/tJF -Cr <br />i! �� <br />(/ <br />Uncovered <br />A 6. <br />/ <br />.a+' <br />LEGAL DESCRIPTION <br />WIDTH <br />\./ _7 F <br />1CTURE <br />i1LS <br />DEPTH <br />WIDTH <br />SIDE YARD /SETBACK <br />carallam �. <br />nsgra <br />'EMA 1 <br />FRONT YARD <br />SETBACK <br />TYPE I F CONSTRUCTION <br />DETAILS 0 <br />0 /.,V tZZ / co , <br />ESTIMATED VALUE <br />-7s; c <br />VAL FOR SURCHARGE <br />99oso - <br />NOTICE <br />,RATE PERMITS ARE REQUIRED FOR ELECTRICAL, <br />/BING, HEATING, VENTILATING OR AIR CONDITIONING. <br />PERMIT BECOMES NULL AND VOID IF WORK OR <br />!TRUCTION AUTHORIZED IS NOT COMMENCED WITHIN <br />AYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR <br />!DOMED FOR A PERIOD OF 120 DAYS AT ANY TIME <br />R WORK IS COMMENCED. <br />''EBY CERTIF Y THAT I HAVE READ AND EXAMINED THIS <br />(CATION AND KNOW THE SAME TO BE TRUE AND <br />:ECT. ALL PROVISION OF LAWS AND ORDINANCES <br />.RNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />11T DOES NOT PRESUME TO GIVE AUTHORITY TO <br />1TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />ORMANCE OF CONSTRUCTION. <br />JU E`(JF CONTRACTOR OR AUTHORIZED AGENT (DATE) <br />` % <br />1 �iC ►l &ti, <br />.TURE OF PWNER (IF �+�' NER BUILDER) <br />PERMIT,ISSUED <br />(DATE) <br />DO NOT WRITE IN THIS SPACE <br />Type of <br />Occupancy <br />Group <br />Division <br />Const. N <br />r.— <br />Size of Bldg. .y,9.2 <br />(Total) Sq. FI. .1.73 i <br />No. of <br />Stories <br />Max. <br />Occ. Load <br />Fire <br />Zone - n— <br />J <br />Use <br />Zone [� <br />Fire Sprinklers <br />Required Yes he No <br />No. of <br />Dwelling Units /) <br />`�•( <br />OFF STREET PARKING SPACES: <br />Covered !,--....— <br />Uncovered <br />Special Approvals <br />Required <br />Received <br />Not Required <br />BOARD OF APPEALS <br />PLANNING COMM. <br />VILLAGE COUNCIL <br />SPECIAL USE <br />FIRE DEPT <br />• <br />- <br />SOIL REPORT <br />OTHER <br />F <br />