HomeMy WebLinkAboutNo 12714
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Valuation ~ Vt?aterUnite
Cilt~/ Of Lak8V1~~E; Bldg. Permit Fee ; Sewer Unit
F State SurG,harg~ Street Area . .
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c ~A T, T1letro SAC Charge ~ Pa~Ic Fee
~~I~D~~~ ~ PERMS 1 O#her TOTAL PAID....,.... ' , .
Rece~.pt
Permission is herebygranted`to ~ ~
:Building on Lot No. Block ~ Subdivision ' ' ` ~ _ ~r ~ ` ~ ' z' r
Parcel No.
in the G1TY OF LAKEVILIE to b[[;e used as - L' ~ ~ ~ ~ ~
This permit is issued on the expressconditionthatthe ERECTION. 'ALTERATION REPAIRS
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,
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Street Address ' ~ ~ r
i N Director, License andJnspection
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~ (j Callforiitspections-469-4431. By
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- CITY OF LAREVILLE
APPLICATION FOR BUILDING PL'~tMIT 8747 208th 5t. W., P.O.Box 957
Lakeville,. MK 55044
(612) 469-4431
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G~~ob Site Address ~.el~,{r~u~~ l/rl~t.t,!
Legal Description: Lot Block Addition
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Owner 1~~~' C c~ /~F W~°~el Phone l -
~ress ' ~ P.O.Box. ~ ~ '
r wzu~,=~G~, ~e~ City Zip ~5 ~
Contractor Phone
Cit. Box: Zi
Address y p
~Xa:ss of Work: (Erect ( ) Alter ( ) Repair ( ) Enlarge ( } *iove
( ) Demolish
~oposed Use (Describe in Detail) ~ ~,j~', z~ ~C, ~
Commercial: Square Feet Employees
Heating Contractor
Plumbing Contractor
Sewer & Water Contractor
Electrical Contractor
Special. Conditions
~luation of Work: $ 3
d~='O
FOR CIT° USE ONLY
i~-~~gnature of Applicant b Title:
3 4 City Fee $ l~
Plan Check $
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Surcharge $
sac $
Signature of Zoning Officer:
. S/W Units $
Date Sewer Area $
I Street Area $
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Signature of Building Official:
Park or Misc..$
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Total $
Date:
SID MILLER, BUILDI:~IG INSPECTOR
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