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<br />~~I'~ERMIT
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<br />CITY OF CENTERVllLE, MINNESOTA
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<br />Permit No.
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<br />Address //././) "-/JXtL'
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<br />LOCATION OF PROPOSED BUILDING
<br />
<br />Builder (\:$1,,,, ,.-h--JU''l ,,~,1,_ " <;;::-<I-"",V(;,
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<br />:2Z.fj) '7 f -,-. . I I.'. .1 'l .., /
<br />Address....; ~;, J r /..n ' _ / _.'''',;{I Ii fY,v;) N~. ,,""b& I1JN, "'A1;ij .l:,,"-.
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<br />Zoning Classification
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<br />Number
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<br />Street
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<br />Part of Lot
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<br />Lot
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<br />LEGAL DESCRIPTIQN
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<br />I
<br />
<br />Block
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<br />Addt'n or Sub-Div.
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<br />DESCRIPTION OF PROPOSED WORK
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<br />--:1''':' ,. _; f l '2'1
<br />Description;~. ni,-.l I ~;j ",e
<br />
<br />Type of Construction:
<br />
<br />Occupancy
<br />Hal . $ i//M ,'~
<br />v; nation ,,,, ~:>.'i#c'TJ.
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<br />./JCr!
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<br />". / / J
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<br />No. of Stories:
<br />
<br />"
<br />I. i / I
<br />, ,. ;~6/rJi'1,,1)i..;_
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<br />
<br />Area:
<br />
<br />(Contract of Market Value)
<br />
<br />(Largest Horizontal Cross Section)
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<br />VARIANCES
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<br />Description of Ordinance Varlance(s) if granted with this permit:
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<br />CITY FEES
<br />
<br />Parks Residential Equiv. Water Meter Storm Sewer Mailbox Other Total
<br />------ Unit (REU)
<br />~.._-- .
<br /> Water Hookup SAC. Site Maintenance
<br />
<br />PERMIT FEES
<br />
<br />Fee Per Schedule Snrch:lrge Totals
<br />Permit Fee
<br />Plan Review
<br />
<br />Permission is hereby granted to to a building as herein described.
<br />This pennit is granted upon the express condition that the person, partnership, firm or corporation to whci it is granted, together with his agents. employeees. workmen and
<br />subcontractors agree to abide by and conform to all Ordinances of the City of Centerville regarding the construction. alteration. maintenance. repair and demolition of buildings
<br />within the City; and that this permit.may be revoked at any time upon evidence of violations of any afthe provisions of said Ordinances.
<br />
<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 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 permit.
<br />
<br />The permittee further agrees to commence the work covered by this permit within sixty (60) days of the date hereof and to complete all such work by
<br />Suspension or abandonment of such work for a period of one hundred and eighty (180) days shall result in the automatic revocation
<br />
<br />is permit as provided by Ordinance.
<br />
<br />PERMITIEE
<br />
<br />BUILDING INSPECTOR
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<br />By:
<br />
<br />By:
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