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<br />FEES COl=t.ECTED <br />~. <br />PERMIT <br />STATE S. C, <br /> <br />S.A. C. <br />WATER METER <br />OTHER <br /> <br />¡53, ð~ <br />7.60 <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MN, 55113 <br />PHONE: 484~3371 <br /> <br /> <br />MIT No.~5--<; 79 <br />(for pt use only) , <br />~ - /- 7Ø <br />19 <br /> <br />APPL I CATION FOR <br /> <br /> <br />- <br /> <br />TOTAL a <br />RECEIPT NO. <br /> <br />f J~~fØ- <br /> <br />STRUCTURE <br />DETAILS <br />(CIRCLE) <br /> <br />OLD NEW BUILD INSTALL <br />ALTER OR REPAIR REROOF RESIDE <br />TYPE OF 8ASEMENT (CIRCLE) STANDARD <br /> <br />ENTRY <br /> <br />TYPE OF CONSTRUCTION <br /> <br />WIDTH <br /> <br />LENGTH <br /> <br />HEIGHT <br /> <br />STREET <br /> <br />SIGN USE ONLY <br /> <br />ERECT NEW SIGN <br /> <br />IllUMINATED <br /> <br />NON- IllUMINATED <br /> <br />TYPE OF MATERIAL <br /> <br />SIGN <br />DETAILS <br />(CIRCLE) <br /> <br />SIZE <br />OF <br />SIGN <br /> <br />PROJECTIN G <br /> <br />WAll PYLON <br /> <br />WIDTH <br /> <br />HEIGHT <br /> <br />SIGN HEIGHT ABOVE FINISHED GRADE' BOTTOM <br /> <br />TOP <br /> <br />I- <br />1&1 <br />1&1 <br />a: <br />l- <br />I/) <br /> <br />m <br /> <br />PROPERT.Y liNE <br /> <br />I- <br />1&1 <br />1&1 <br />a: <br />l- <br />I/) <br /> <br />DISTANCE FROM <br />DISTANCE FROM <br /> <br />NORTH/E AST/ WEST/SOUT H <br />NORTH/EAS T/WEST/SOUTH <br /> <br />PROPERTY liNE <br /> <br />NUMBER OF SIGHS APPLIED FOR <br /> <br />'8 I S~ <br /> <br /><LOCATE SlGIIS ON 'DRAWIIIGI <br /> <br />STREET <br />CIRCLE STREET SIDE <br /> <br /> <br />REMARKS <br /> <br />ESTIMATED VALU <br /> <br />DETAILS OR REMARKS <br /> <br />~NER <br /> <br />tJðp~t,~ <br /> <br />tU. <br /> <br />J, #N~1\f <br /> <br />-1-~/ So <br /> <br />Me~¿JV' BLVp. <br />~...:2 s- / S-£ tj <br /> <br />ADDRESS <br />ADDRESS <br />ADDRES S <br />ADDRESS <br /> <br />ARCHITECT <br />~ERAL CONTRACTOR _~L ./ <br />MASONRY CONTRACTOR <br /> <br />NUMBER STREET BETWEEN WHAT CROSS STREETS <br />L/J'¡ $'. 7J1C¡';, ~ ~} <br />DIST, PLAT NUMBE R PARCEL BLOCK ADDITION OR TRACT OR SECTION NUMBER <br /> I ¡ I I : : <br />79 I I I I <br /> I : I I : : : <br /> I <br /> WIDTH DEPTH SIDE YARD SETBACK DISTANCE FRONT YARD SETBACK DISTANCE <br />LOT <br />SI ZE <br />NOTICE: PENALTY FOR VIOLATION OF ANY OF THE PROVISIONS OF THE YOU MUST CAll FOR THE FOllOWING INSPECTIONS <br /> IlU1L.DING CODE IS A FINE OF FROII FIVE OOLLARS TO TMREE <br /> ~~~l~t:f i,oCEi\'tS ,~IIII.r.fll~V...ry¡r ~i'li~i' '~n leE~~'lfitxl. I. EXCAVATION 2, FOOTINGS 3, FRAME 4, FINAL 5, CU R B <br /> PLUN81NGb HEATING, AND DRIVEWAY INSTALLATIONS AND FOR <br /> ~'}~.~Sf;. JoIKUB~~¡ ~~~P::¡JH ~~C~N:~yS~~¡EMis ~~:N,KS, OTHER REOUIRED PERMITS 0 RAMSEY CO. 0 RICE CREEK WATERSHED 015 TRICT <br /> WILL EXPIRE, o MNDOT DISTRICT 9 0 DEPT. OF NATURAL RESOURCES OTHER <br /> CURBING IS CONSIDERED UNDAIIAGED AT THE START OF CONSTRUC- <br /> TION UNLES' NOTICE OF ANY DEFECTS IS GIVEN TO THE CITY <br /> ENGINEER PRIOR TO CONSTRUCTION. ASSESSMENT CHECK AND SPECIAL CHARGES: (CHECK) <br /> o ROAD IMPROVEMENT o EASEMENT o STORM SEWER <br />-i ~ tlI~ o CURB DEPOSIT o METER DEPOSIT o SANITARY SEWER <br />o STREET REPAIR OWATE'R o SEWER SERVICE <br />o STREET SWEEPING o WATE R SERVICE SUB-TOTAL <br />OWN£R (APPLI ANT) SIG URE OTHER . <br />