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<br />FROM CENT <br /> <br />PHONE NO. 651 429 8629 <br /> <br />Aug_ 09 2001 12:53PM P2 <br /> <br />GRADING PBRMIT APPLICATION <br />~ITY OF CENTERVILLE <br /> <br />SITE ADDRESS: <br /> <br />6812 - 20th Avenue, Centerville <br />(1...........",., 'lno~e<,. LLL <br />'kzm':'.l.J.a.l 'fEanl!il*1:rt I PHONE ~ <br /> <br />(,.6f. ic'?( - 'YD70 <br /> <br />OWNER'S NAME: <br /> <br />LEGAL DESCRIPTION: LOT ___, BLOCK _, TRACT: pm 24-31-22-33-0001. <br /> <br />CONTRACTOR/DEVELOPER: MlIfJ.ler Pipe Line <br />CIVIL ENGINEER: Metro Land 8urveYi!,~ & Engineering <br /> <br />PHONE: <br /> <br />PHONE: 651-766t'OH2 <br /> <br />TYPE OF CONSTRUCTION: REGULAR <br /> <br />ENGINEERED XX <br /> <br />DESCRIBE WORE:: Expand Parking Lot <br /> <br />CUBIC YARDS OF CUTS: 4190 <br /> <br />CUBIC YARDS OF FIl.L: <br /> <br />ZONNING CLASSIFICATION: <br /> <br />I <br /> <br />APPROVED USE: <br /> <br />SPECIAL APPROVALS REQUIRED: ZONING <br /> <br />SOIL REWRT <br /> <br />RICE CREEK WATER SHED _____ FIRE DEPT <br /> <br />OTHER <br /> <br />THE UNDERSIGNED HEREBY MAKES APPLICATION FOR A PERMIT TO <br />UNDERTAKE CONSTRUCTION AS SPECIFIED ABOVE AND AGREES TO COMPLY IN <br />ALL RESPECTS WITH THE BUILDING CODE AND ALL CITY OF CENTERVILLE <br />ORDINANCES AND TO ASSUME RESPONSIBILITY FOR EMPLOYEES, AGENTS AND <br />~UB~GeNf~AefeR~ AND CONSENT TO NEOESSAaV INSPECTIONS. <br /> <br />~';'~:ATVRE //~~. <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />GRADING PERMIT: $ <br />PLAN REVIEW FEE: $ <br />STATE SURCHARGE: $ <br />OTHER: $ <br /> <br />PLANS APPROVED: <br /> <br />BUILDING INSPECTOR <br /> <br />TOTAL PERMIT FEE $ <br /> <br />GRADING PERMIT NO: <br /> <br />L """ '""'"" ".,J""",',.^,"".~, ,,- -" <br /> <br />. "'-lC,-,.":,3:~:"'.~ o,-::",:"-,,,,,''O';"'?,;__i'~:.,:.,::''M~.' ;'"-:'-~"- <br />