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Valuation S~~:a~)k.~~ Waterllnit 7f?l3.!'1fl
CltyOf Lak@VI~~@ BIdg.PermitFee... •%~-~.~~1 Sewer Unit.... 575.f3(3
....State Surcharge . ZS . rea . fie~t~~ • , ? ~8 . ESQ
Metro SAC Charge...:... ~ :Park Fee .
BUILDING' PERMIT Other......... ToTA~PAIO.. . ~?,~~~.ao
& Receipt
k Permission is hereby granted to T~s~~ ~ ~j 7 1Fr Cnn~et• r~~rtf nn
Building on Lot No. ~ Block 11 Subdivision Dranngyt s Val~~y Pane Adv:~,
Parcel No. ?2 1 177 18f} i y
in the CITY OF LAKEVILLE to be used as ~p*"'T'a 1• t•r? ~'nniat•r,teo s° ,~i f L.-C16T@Z~,~.Iitr
This permit is issued ontheexpressconditionthatthe X ERECTION ALTERATION REPAIRS
ENLARGEMENT MOVING DEMOLITION respects to the statements certified to in the
application for such permit, and that ait 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$34 fantasia Av~nu~: Sid ~~.l~.~r
Director, Licenseand,ll~nrsdp~eetion
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Callforinspectiohs-469-4431. BY ~..~--tea
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- ~ ~ APPLICATION FOR BUILDING 'E°1fIT QTY OF LA,RZVILLE
8747 208th St. W,, P•0.3ox 957
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- Lakev3lLe , , MN 55044 _
• (612) bfi9-4431
Jab Site Address ~
Legal Description: Lot /d Block 1/ Addition ,t~"----~",L ~ 1/,'f
;
Owner Phone
Address P•O.Box:
City Zip
Contractor JOSEPH M. MILLER CONST, INC. Phone 431-2007
Address 18133 Cedar Ave P•O.Box:
City _ Farmington Zip 5024
Class of Work: (x) Fiect ( ) Alter ( ) Repair ( ) Enlarge ( } 'love ( ) Demolish
Proposed Ilse (Describe iu Detail) New Home
Commerc'al: Square Feet ~ Employees
Heating Contractor Controlled
Plumbing Contractor Hiltner Plumb'n
Sewer & Water Contractor Pl mo ~i
Electrical Contractor Midland Electri c
Special Conditions
Valuation o f Work • $ ~
FOR CIT° USE ONLY
`Signature of Applicant S Title:
~~•lnC~4~ ~ , City Fee $ c~7
~ J Plan Check $ .
~ Surcharge $ r ~A
Date
SAC $ ~
Signature of Zoning Officer:
• S/W Units $ : -
Sewer Area $ ~ 4
•Date
i Signature of Building Official: Street Area $
Park or Misc. $
. Total $ _ ~ ~ . r.~
Date:
SID ~ILDL`IG INSPECTOR