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<br />BUILDING PERMIT
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<br />CITY OF CENTERVILLE, MINNESOTA
<br />Permit No. ()'7)- ()j ')..
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<br />Owner: ./
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<br />t, {7,S-' /)C7>:: CT
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<br />Builder
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<br />....-'74----
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<br />
<br />Address
<br />
<br />Address
<br />
<br />.
<br />
<br />LOCATION OF PROPOSED BUILDING
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<br />,I
<br />
<br />Zoning Classification
<br />
<br />Number
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<br />Street
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<br />LEGAL DESCRIPTION
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<br />Parlof Lot
<br />
<br />Lot
<br />Z-/
<br />
<br />Block
<br />Z.
<br />
<br />Addt'n or Sub.Div.
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<br />---:, /'--"7'~T~:r"'? f ;(_",,_"'."?'~::!4__"'!JI<
<br />
<br />DESCRIPTfON OF PROPOSED WORK
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<br />--.-._J
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<br />iD~scrlption: -,. A'/",4' j J
<br />~." " ," _1',.- -~~- -..,.' "-"'"
<br />Type o(Construction:
<br />".jOccupancy
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<br />,,;",,. .
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<br />;.,.;.. - -
<br />.k--,/!h~
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<br />,t.
<br />
<br />No. of Stories:
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<br />
<br />;z; S;; (~ :1<..
<br />
<br />Area:
<br />
<br />(ConlIact i:lfMarket Value)
<br />
<br />(Larg~sf Horizontal Cross Section) .
<br />
<br />VARIANCES
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<br />,,: :p~,Cr1ptiO~ "of'<?rdinam;e VaPan2e(~) if gra?-ted with this permit:
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<br />CITY FEES
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<br />Residential !'quiv. .
<br />Unit (REU)
<br />.. Q'J
<br />~) 000,
<br />
<br />,Water Myter
<br />-1'8;;, ,lV.
<br />,"~ ; -/ ?~. ..
<br />'Water . Hookup
<br />
<br />:Storm Sewer
<br />
<br />Mailbox Other
<br />
<br />Total
<br />
<br />~
<br />
<br />nJ
<br />.:;; (h!,
<br />
<br />,---
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<br />-:J 4<M:;;'>
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<br />I S of), r/J
<br />
<br />SAC.
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<br />PERMIT FEES
<br />
<br />Site Maintenanc,e
<br />
<br />/';;,1/;:,-
<br />
<br />I S / 7. 57'
<br />
<br />. '. . . . / ; eO' ,c_ "1. 'j'", 1-'/
<br />'.Penniss'1oo is hereby granted to .ll-f77)-t-'t.-4 A-' J;-;~"A to . /. ,oIr4.-L...:1;>?4"z':'4 . . a building as herein described.
<br />This pe~t is granted upon the eXpress condition that .rlie,.person, partnership, firm or corporation to who it is""granted, together with his agents, employeees, workmen and
<br />subContractors agree to abide by and conform to all Ordi~ces of the City of Centerville reB"arrling the con~tIuction, alteration. maintenance. repair and demolition of buildings
<br />"Yithin the City; and that this permit may berevoked at any time upon evidence of violations of any of the provisions of said Ordinances. .
<br />
<br />
<br />;z.~f$" ....,..5..."',; ;29...;25.... rrI
<br />
<br />Pee Per Schedule
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<br />
<br />Surcharge
<br />
<br />Totals
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<br />I Z f.
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<br />Issuance of a building permit is not to be construed or relied upon as a warranty, guarantee. or representation on the part of the City that the construction or finished product:
<br />covered under this building permit is necessarily in confonnatibo with the state building code or other applicable 'construction standards. The City assumes nO responsibility or
<br />liability for damages arising out of the issuance of this buildIng permit.
<br />
<br />T_he... p'ermittee fur,~er tJ-gre_e~s to commence t~e work covered by this permit withi~ sixty (60) days of t~e date hereof ~nd to co~plete aU su~h work .by
<br />~l '--4J . SuspensIOn or abandonment of such work for a penod of one hundred and eIghty (180) days shall result 10 the automatIc revocatIOn
<br />oftbi, penn:V:OVi d by Ordinance.. . ,. /~~ i .' ../ .1
<br />
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<br />PERMlTIEE I BUILDING lNSPEcroR
<br />
<br />By:
<br />
<br />By:
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