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No 13440
r ,i'~~ri1 I7, 1s :....Valuation CS,?~~15.44 Water Unit ~2~.~J CftyOf LakG'VI~I@ BIdg;PermitFee......... 331.On Sewer unit...,....... 605.~iiJ .'.State Surcharge . 33. ilk Area ..Sewer , , 2~~. pn Metro SAC Charge + Park Fee . BUILDING ..PERMIT Other ..~'1.,aIt..C1'1t~C~... ~~5.nfl TOTAL PAID......... ~2.72~.~3 Receipt Permission is hereby granted to L~Croix ~uilderst Building on Lot No. 1.2 Blocl~ 1 Subdivislan Dpdd Ppint:e 2t?d Additi©ri Parcel No. 22-? ~6I-124-~J1 in theClTY OF LAKEVILLEtobeusedas`~' ri~'~~-'~ Coztstrasct sin~Zle fanailV d~a~lliti~ Thispermitisissuedontheexpr'~ses~onditionthatthe ~ ERECTION ALTERATION REPAIRS f V ENLARGEMENT'. MOVING DEMOLITION respects to the statements certified' to in the application for such permit,. and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota pertaining to the construction of.buildings. Street Address ' 1~2Z~+ Fxeelsia~x ~J~iv~ ~a~id E. Krngs Director, License and Inspection Callforinspections-469-4431. By ~ r ~ ~ ~ ~ z=,~ ~ ~ ~ ~ .,r~ ~ ~r ~ ~ c ~ ~ ~ ~ ~ ~ ~ r~ ~ ~ ti~ ` ~ BUILDING PERMIT APPLICATION ONE AND TWO FAMILY RESIDENTIAL • CITY OF LAKEVILLE INSPECTION DEPARTMENT 8747 208TH STREET W. P.O. BOX 957 LAKEVILLE, MN 55044 469-4431 ~ DATE: ~ ~ i JOB SITE ADDRESS: ~ `o~,~~+- LEGAL DESCRIPTION: LOT: BLOCK: ' SUBDIVISION OR SECTION; ~O pw~~'Y Yl i~ OWNER: ~ ~ ~ ~'-c> PHONE STREET ADDRESS: CITY: ZIP: CONTRACTOR: { ~ ~Y~' ' ~ ~v i IG, (.~i. C, PHONE: 'r*I ~ ~ ~ STREET ADDRESS: ~ ~ CITY: h'! L ~ ~,-`1d'r ZIP : ~ S ~ ~ ~ CLASS OF WORK: NEW: t/ ADDITION: ALTER/REMODEL: DEMOLISH; PROPOSED USE (DESCRIBE IN DETAIL) : C rI ,~j i'~1/ VALUATION OF WORK (EXCLUD ZNG LAND) : ~7- G' ` ~ C~U ~ I HEREBY APPLY FOR A BUILDING PERMIT AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; THAT THE WORK WILL BE IN CONFORMANCE WITH THE ORDINANCES AND CODES OF THE CITY AND WITH THE STATE BUILDING CODE:; THAT I UNDERSTAND THIS IS NOT A PERMIT AND WORK IS NOT TO START WITHOUT A PERMIT; AND THAT THE WORK WILL BE IN ACCORDANCE WITH THE APPROVED PLAN. licant's Signat re: FOR CITY USE ONLY - Date• Zone Permit Fee $ . GGJ - Plan Check $ ~~J Cif ilding Off~c.al 's S'gnature: ~ ~ / Surcharge $ ~ C~~ Date: SAC $ . P ~ Comments: - - - - S/W Units $ Sewer Area $ Park or Misc. $ TOTAL DUE $ 2~ • a~