HomeMy WebLinkAboutPermit 1620B12
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~ ,T SHIP ACOTT COUNTY, MINNESOTA PERMIT NUMBER
Owner: ~~me:l11aJ1A~/H \r1~L ' Phone'
", Address:Ji/5 ~.-Q{I ~' _ 1,/",.IIoj (f,~.. (f hW () i1L~ J _13'lA. 'I
'10 ~ '</ .
Applicant: (Ifotherthanow7e2 Nal?le:-: 0 '-'" A1S. n
Address:--1S~ 'i~.a.'ltJ~f.ct:,~hone:!I!L~S O? 0
The above applicant applies fora permit to 'J-{~~5 fu-<-J__~ - 6fFICE '-/t../1.-L/7d()
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- .--------- - (B~ild~iill.r, repair, w;:.CiI-:.s-CU.--.,,'8yb81-------...,-- W- ~
PERMITS APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost)_~ D '{ _~_..
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Number of Bedrooms: _____::2- .__. General Contractor:)7~'V CAf-tJ. ~
Legal Description of Property: ...__il (J 'I{ _..._____..___.
Township: Jii_. Section: .1L__ Range: .:l~ or Lot: _:2,.. Block:
Zoning District: Agricultural: ____ Residential: '1!-=-~- Commercial:
A Plot Plan showing the following must accompany this application:
1, North Direction 5, Street name or road number
2. Location of Proposed Structure on lot 6, Locations of existing structures
3. Dimensions of front and side set-back 7, Location and size of Septic Tank and Drainfield
4. Dimension of structure(s) 8. Location of Well - Distance from Septic Tank and Drainfield
Applicant hereby agrees that, in case above permit is granted. that all work shall be done and all materials which
shall be used shall comply with the plans and. specificatio.ns ):1erewi.th SUbmitted. and with the Ordinances of Said
Township and County applicable thereto,__ ~...lf. ~;J4 n._._. )- /7- g 3
APPlica~ Date
KIND OF CONSTRUCTION:
SUbdivision~ ~
Industrial:
TOWNSHIP USE ONLY
Recommend Approval: V Recommend Disapproval: Approval recommended
subject to the following conditions: _._.._. ___
Reasons for disapproval' , \. -
SIGNATURE OF TOWN CLERK: (Or representative) u.li.U~ll..Q_~ DATE: L~1-t..3
./ COUNTY USE ONLY
Approved: Denied: 7T' ---. By Zoning Administrator SUbject. to. existing regulations and the following
~tions: _-f "'-c"---,,fu -e.~'..:L~~~~-.J~~~
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SIGNATURE:__ ~~ _ ...&4~ DA E:_l_
COUNTY USE ONL'-
Approved:
conditions:
Signature:
r
l/._ Denied:
?LefiJ,e L#l/L
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By Building Official subject to existing regulations and the following
Ai L 12.~.cr;"d,~/ Z/ll;~t;~j/ons
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FEES:
Land Use Permit
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~'- \JO-~
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"SlM4
Plumbing Permit
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0~ro
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oZ Y.7, cf-O
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Receipt # / D ..;1 7/
,
Sewer Installation Permit
Well Permit
State Surcharge
Building Permit
Plan Check
Fireplace/Wood Bumlng
Appliance
TOTAL FEE
SYL/H
1. County Copy (White) 2. Township Copy (Canary) 3, Applicant's Copy (Pink)
Form No.1
Revised 7-82
Form No. 294 Miller-Davis Co., Minneapolis
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~ 534.00 No. _1620-8-12 ~
State of Minnesota, t ss. 4th of March. 1983
County of Scott f Office of Building Official
P 1 IN CONSIDERATION QF The.statemel).ts made by !1r"Ce .;. Ehlers. 15069 South Hwy. 13.
r or lake. Minnesota 5537,. as ~ontractor.
, in . nl 5 . application therefor duly filed in this offic.e, which applicat.ion is hereby made a part hereof, I~'i'
PERMISSION IS HEREBY GRANTED To said Bruce b. Ehlers. as ~t,.acto,. ....uu
to build 11 singl/! 'fllmily ""- All \)9" phlUl lu.hllittAd
I
This permit is granted upon the express conditions that said owner and h.is- contractors, agents, workers '
and employees, shall comply in all respects with the ordinances of the
County or ~t
I Given under the ha n. d of the !!ufldino Offi{'i..il
seal and attested by it. Plilnninn ni~ thiQ 4th
, II
L Attest: - i/ ., .
· /---y r'~'{i; ~
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BUILDING
upon that tract of land described as follows: Lot -----2-_ Block
Address Will. ........Hnn 11 \
which tract is of the size and area specified in said application.
Permit
: plat or addition_pl. Acnu'_
~~fr. .i ~..,;v~v:o _ _ ~tt"t
of said Countv
day of ~o
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[if: j);{
fI Building Ofi'id.l
and its corporate '
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