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<br />BUILDING PERMIT
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<br />CITY OF CENTERVILLE, MINNESOT~ . L/-
<br />Permit No. 0 If I 3
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<br />Owner:
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<br />Builder
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<br />Address
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<br />Address
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<br />. LOCATION OF PROPOSED BUILDING
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<br />Zoning Classification Number Street
<br />,:-,( - 2- J7&c..f ri. I' a- ( ,,- \",e \/'1<< C:"'-
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<br />LEGAL DESCRIPTION
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<br />Part of Lot
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<br />Lot
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<br />r'.., Block
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<br />"") Addt' n or Sub-DiY.
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<br />DESCRIPTION OF PROPOSED WORK
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<br />Description:
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<br />tJe~
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<br />Ho~
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<br />No. of Stories:
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<br />Type of Constructi911:
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<br />Occupancy \"1 -
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<br />-:;;
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<br />Valuation $
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<br />;;t 90, cPO
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<br />Area:
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<br />(Contr:.lct of Market Value)
<br />
<br />(Largest Horizontal Cross Section)
<br />
<br />,
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<br />VARIANCES
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<br />'~j;, Description of Ordinance Variance(s) if granted with this permit:
<br />
<br />.
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<br />Parks Residential Equiv. Water Meter Stonn Sewer Mailbox Other Total
<br />Unit (REU)
<br /> j, O~ <:.-V ;'65. CO . '350.C.O ~(.,%.t:O
<br /> Water Hookup SAC Site Maintenance
<br /> /500,':0 I 3S0. co Z'2 G.:. c.<'.J 3075.0:>
<br />
<br />CITY FEES
<br />
<br />PERMIT FEES
<br />
<br /> Fee Per Schedule Surcharge Totals A
<br />Permit Fee ?-70 I. Ci 7 fi..f.f5,c:;O 'J,84t,..o7 \:
<br />Plan Review /755.70 [75$ . 70
<br /> 16"531 ,77
<br />
<br />Permission is hereby granted to.. l-IG ~ ~ 6 ~ j~....A<"s.. to (.6 vi $'d--I.";r..~;'- a building as herein described,
<br />This penuit is granted upon the express condition that the 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 Ordinances of the City ofCenterviUe regarding the construction. alteration, maintenance, repair and demolition of buildings
<br />within the City; and that this pennit may be revoked at any time upon evidence of violations of any of the provisions of said Ordinances.
<br />
<br />Issuance of a building pencit is not to be construed Of 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 conformation 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 pennit.
<br />
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<br />The permittee further agrees to commence the work covered by this- permit within s~O) days of the date hereof and to complete all such work by
<br />. Suspension or abandonment of sllch work for a period of one hundred and eighty (180) days shall result in the automatic revocation
<br />of~s.penn{t..as provided~. ord{ina1f2ce. , <" / r", ... " i~'-:~'''''>l')
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<br />"'-", " '~, PERMITTEE . BUILDING INSPECTOR
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<br />By:
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<br />By:
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