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BUILDING PERMITNO
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<br />515 Little Canada Road, Little Canada, Minnesota 55117 7772/7_
<br />484-2177
<br />DO NOT WRITE IN THIS SPACE
<br />cc Name tiot ij I NI t•I
<br />Address 114 Rccc S'+r_cet
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<br />00 Address \ -100 tki, 1-1. .Act. ck Ls...r ,-1 3 G
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<br />1- c" -c-t_ Ps Zip g51/3 tTet. No.6.5.3 -009
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<br />cc z# City
<br /><111
<br />Zip Tel. No.
<br />Registration Number
<br />Permit Fee $ 024/7 °C)
<br />State Surcharge 00
<br />Plan Check Fee $ ./4 •
<br />SAC Charge (Units)
<br />Sewer s /20. 0 0
<br />Water . $ s_7522 0 0
<br />Park
<br />Other
<br />Penalty
<br />TOTAL FEE PAID $ el:2
<br />Receipt No. Date
<br />Structure n
<br />Used As V---ccrik" Zone
<br />DEMOLISH
<br />BUILD ADD ALTER REPAIR
<br />0
<br />MOVE
<br />0
<br />NUMBER
<br />STREET
<br />LOT •
<br />BLOCK
<br />ADDITION OR TRACT
<br />2-41Tha ILA
<br />(-2- Cc-c 54 -rtle -el-
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<br />--749
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<br />LEGAL DESCRIPTION
<br />(I K1 PlAtO -- r)ti _ 36/Jnb of t.1 CM
<br />LL/- • -2.9 gAt,36,e, 2 Z-
<br />VAL FOIR SURCHARGE
<br />• -
<br />-
<br />IC)2&6°90.401‘ 22h7•14eCti /4,74-.7270 4—
<br />,
<br />• — - /72,..ret ,./777/ DO NOT VIRITE IN THIS SPACE
<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.. _- sri isi-,-..*I.,2.« -- i -
<br />I HEREBY CERTIFY THAT 1 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 Nor. THE GRANTING OF A •
<br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO - i
<br />VIOLATE OR CANCEL. THE PROVISIONS OF ANY OTHER ': .
<br />STATE OR LOCAL LAW 9EGULATING CQNSTRUCTION OR THE •
<br />PERFOR i ANC OF C • STRUCTIO
<br />SIGNATURE r NTRACTOR OR UTHORIZED AGENT.
<br />. = ' : -• +:;:i r-RI•Ta = ist--1?( --sbi'in-Ii.2.41-2-(27iii---1-2P2ris- -t.
<br />SIG NAT V R Er0 F OWNER (IF 0/1N ER BUILDER)s‘.'s:IiiCcl.;
<br />-. - i-- PE R M U ED:7-z' C*•=7,t;-•S`.4.?,e--4:1..L. ;...
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<br />Type
<br />Const. j V_
<br />Size cif Bldg friX-1522'FAIC.
<br />(Total) Sq. Ft. /7q
<br />A 12D izikt
<br />WIDTH
<br />DEPTH
<br />SIDE YARD/SETBACK
<br />SIDE YARD/SETBACK
<br />FRONT YARD SETBACK
<br />LOT
<br />SIZE-
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<br />--749
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<br />c1/4.:2, c 2. PR- y
<br />c619 ,CY_XD •
<br />VAL FOIR SURCHARGE
<br />• -
<br />-
<br />IC)2&6°90.401‘ 22h7•14eCti /4,74-.7270 4—
<br />,
<br />• — - /72,..ret ,./777/ DO NOT VIRITE IN THIS SPACE
<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.. _- sri isi-,-..*I.,2.« -- i -
<br />I HEREBY CERTIFY THAT 1 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 Nor. THE GRANTING OF A •
<br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO - i
<br />VIOLATE OR CANCEL. THE PROVISIONS OF ANY OTHER ': .
<br />STATE OR LOCAL LAW 9EGULATING CQNSTRUCTION OR THE •
<br />PERFOR i ANC OF C • STRUCTIO
<br />SIGNATURE r NTRACTOR OR UTHORIZED AGENT.
<br />. = ' : -• +:;:i r-RI•Ta = ist--1?( --sbi'in-Ii.2.41-2-(27iii---1-2P2ris- -t.
<br />SIG NAT V R Er0 F OWNER (IF 0/1N ER BUILDER)s‘.'s:IiiCcl.;
<br />-. - i-- PE R M U ED:7-z' C*•=7,t;-•S`.4.?,e--4:1..L. ;...
<br />, z • -c---.>14:1•1e- et• ':%:.5-':-.:=3-:-
<br />• t -,---, 3. ‘...,,,,,,,,-, €,,.
<br />...-:1- -e • . SI --:-.•::-.---:. B1'114?2 N. 92--EjlCl,t1,-L;;2+1-:crilltzikiiTttla,lillpi:c.1.9-i.4.17Tifj3';_:74,,,--,„.r.,,c,...ta.,74:-Pc.s...: ..k --- s. s' x • x : Uor „?' .ip ---, 7, ...t
<br />Type
<br />Const. j V_
<br />Size cif Bldg friX-1522'FAIC.
<br />(Total) Sq. Ft. /7q
<br />A 12D izikt
<br />- WIDTH
<br />LENGTH
<br />HEIGHT
<br />TYPE OF CONSTRUCTION
<br />ESTIMATED VALUE
<br />S I RUCTURE
<br />DETAILS
<br />. -7-Z.1
<br />'Z. a / 1 '
<br />--749
<br />. .
<br />s7&'
<br />, 10-1
<br />/2'
<br />c1/4.:2, c 2. PR- y
<br />c619 ,CY_XD •
<br />VAL FOIR SURCHARGE
<br />• -
<br />-
<br />IC)2&6°90.401‘ 22h7•14eCti /4,74-.7270 4—
<br />,
<br />• — - /72,..ret ,./777/ DO NOT VIRITE IN THIS SPACE
<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.. _- sri isi-,-..*I.,2.« -- i -
<br />I HEREBY CERTIFY THAT 1 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 Nor. THE GRANTING OF A •
<br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO - i
<br />VIOLATE OR CANCEL. THE PROVISIONS OF ANY OTHER ': .
<br />STATE OR LOCAL LAW 9EGULATING CQNSTRUCTION OR THE •
<br />PERFOR i ANC OF C • STRUCTIO
<br />SIGNATURE r NTRACTOR OR UTHORIZED AGENT.
<br />. = ' : -• +:;:i r-RI•Ta = ist--1?( --sbi'in-Ii.2.41-2-(27iii---1-2P2ris- -t.
<br />SIG NAT V R Er0 F OWNER (IF 0/1N ER BUILDER)s‘.'s:IiiCcl.;
<br />-. - i-- PE R M U ED:7-z' C*•=7,t;-•S`.4.?,e--4:1..L. ;...
<br />, z • -c---.>14:1•1e- et• ':%:.5-':-.:=3-:-
<br />• t -,---, 3. ‘...,,,,,,,,-, €,,.
<br />...-:1- -e • . SI --:-.•::-.---:. B1'114?2 N. 92--EjlCl,t1,-L;;2+1-:crilltzikiiTttla,lillpi:c.1.9-i.4.17Tifj3';_:74,,,--,„.r.,,c,...ta.,74:-Pc.s...: ..k --- s. s' x • x : Uor „?' .ip ---, 7, ...t
<br />Type
<br />Const. j V_
<br />Size cif Bldg friX-1522'FAIC.
<br />(Total) Sq. Ft. /7q
<br />A 12D izikt
<br />.
<br />,
<br />Occupancy
<br />Group
<br />Jr--
<br />NO- of -
<br />Stories _ ' 1 i i . : _
<br />Division -:-.
<br />_..-- —
<br />-- -
<br />. --- _ ._.
<br />_ _ -, , .
<br />Ma x . /757
<br />Load i
<br />Occ. .
<br />Fire Sprinklers .
<br />Required Ayes F3No '
<br />-.
<br />OFF STREET PARKING SPACES:
<br />••• .•''' e (' -; -'-..
<br />Special Approvals .
<br />I ' = Required
<br />Received ',L.-. ..
<br />- Not Required ..
<br />PLANNING comm.'
<br />F-i• -....I,;`-2:- :2:
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<br />VILLAGE COUNCIL
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