Laserfiche WebLink
DATE RECEIVED; <br /> RECEIVED BY: <br /> I PERMIT #� � C�I- �Gr�Lt-t.€' <br /> �..�' L t r,i:;�ss t ;a�=;' <br /> �UILDING �ERIIIfIT APPLICATION <br /> APPLICANT USE: <br /> PROJECT ADDRESS: 6970 Lamotte Drive otz PID # <br /> PROPERTY OWNER: City of Centerville PHONE # <br /> ADDRESS: same as above LOT: BLOCK: <br /> SUBDIVISION: N/A <br /> GENERAL CONTRACTOR: City Of C@Clt@1"VIII@ <br /> ADDRESS: <br /> LICENSE # PHONE # <br /> PROPOSED USE: (cHecKONE) DWELLING PRIVATE GARAGE ❑ DECK ❑ HOMEADDITION ❑ <br /> FINISH BASEMENT ❑ THREE SEASON PORCH SIDING ❑ ROOFING ❑ BUSINESS/COMMERCIAL ❑ <br /> OTHER�_ <br /> DESCRIPTION OF PROJECT: Ut1llt�/ gc'aCag@ fOr �78rI( <br /> USE AND OCCUPANCY: 9arage TYPE OF CONSTRUCTION: <br /> ESTIMATED VALUE: $15,000.00 <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION WORK IS <br /> SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK HAS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND <br /> EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED VNTH WHETHER SPECIFIED HEREIN OR N T. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PR ION OF ANY OTHE ST OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE: ��"�""'�� DarE: 12/9/10 <br /> CITY USE ONLY: <br /> PLANNING: ZONING DISTRICT: MINIMUM SETBACKS REQUIRED: FRONT SIDE <br /> REAR ROAD RIGHT OF WAY OTHER <br /> REVIEWED BY: DATE: <br /> SUBJECT TO THE FOLLOWING CONDITIONS: <br /> BUILDING INSPECTIONS: REVIEWED BY: DATE: <br /> SUBJECT TO THE FOLLOWING CONDITIONS: <br /> PUBLIC WORKS: REVIEWED BY DATE: <br /> SUBJECT TO THE FOLLOWING CONDITlONS: <br /> CITY HALL: PUBUC WORKS: <br /> CITY OF CENTERVILLE <br /> 1 HHO MAIN STREET 7OH7 - 2O AVENUE <br /> I CENTERVILLE MN 55038 CENTERVILLE MN 55038 <br /> PHONE: 651-429-3232 Fax: 651-429-8629 PHONE: 651-429-4750 <br /> (IF YOU HAVE QUESTIONS ON CODE ITEMS, REQUIRE INSPECTIONS OR TO SCHEDULE AN INSPECTION CALL 651-42J-4750) <br /> I <br />