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DATE: 12- 3 FEE: <br /> (Base on assessed valuation of the <br /> building being relocated as provided in • <br /> -- Z- 1 the Uniform Building Code.) <br /> CITY OF ST. ANTHONY <br /> APPLICATION FOR <br /> RELOCATUiG BUILDINGS WITHIN <br /> THE CITY OF ST. ANTHONY <br /> APPLICANT: c° - 0 �1 <br /> PHONE: g — Z� o <br /> ADDRESS: 5 r t-t ✓d-2-D <br /> Location of property where application is made: • <br /> Zoning district in which property is located: <br /> Using additional sheet(s) of paper, briefly address the following items: <br /> (1) name of licensed mover (approved by the City Manager); <br /> (2) origin of the building; — ( 5 r— Tz-cz4 - <br /> (3) 'destination of the building; <br /> (4) proposed route; <br /> (5) date and time of move. 4f p(Z o k . A A-4y. I <br /> Please include a detailed site plan. A survey will be required if the property line cannot <br /> be verified. <br /> SIGNATURE OF APPLICANT: <br /> V f • <br /> (See-back for applicable Ordinance code.) <br /> Zo nA 11,4 Cs , 5 B A;G 1� , AvJ D ,A-t.A- o-ri+q 2 a--2 G rJ A-.J c;L% . <br />