HomeMy WebLinkAboutSI 1975-907 Freestanding Sign (56sf Sign Area) FEE SCHEDULE Permit No. 96/
VILLAGE BLDG. 9-0 - VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only) I
BLDG. PERMIT ,,/1
VILLAGE UTILITY
EXTERNAL.C, G. APPLICATION fOR PERMIT 7�� ,r'
S.A
METRO S.A.C.
UTILITY CONNECTION Date G/& 19_.
TOTAL AMOUNT DUE rI r
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner 4:34t/C- �4!'At' 17---- ---c--/7.44,c Address NI-59/ r/Z�G/ "✓, /4/,
Architect Address
General Contractor Address
Contractor Reg. No.
.. NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 7 , ? tr
Pr-
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9.— f/ --/17,- DYESETAILS OR REMARKS: 1� � p
BASEMENT O NO i -�G "�P0�,��
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY