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PERMITSISSUED
NEW
PRIVATELY- WN" JULIE A HULTMAN
HOUSING UNITS
COMMUNITY DEVELOPMENT OFFICIAL
ii
IMPORTANT:
Ofthleformfot ora FOR CITY OF OAK PARK HEIGHTS
information and Instructions forte I 14168 OAK PARK BLVD N PO BOX 2007
the survey.
For further assistance,call 1 8p0$4S^ ,itr OAK PARK HEIGHTS MN 55082
e-mail us at;EID.RCB.BP 1 gov""
How can I report?
Via Fax: 1-877-273-9501
Via Mail: Name Change 0 Spelling Correction Political Description Change
U.S.Census Bureau
1201 East 10th
Je[f onvUl u IN 47132-0001 •
Via Internet or to g4t"Help: : ( s iny+err t1n ;mess and 2!F Code) I
o unique use a end origin( , , rd. Username; Passwert$=
1. PERIOD IN WHICH PERMITS WERE ISSUED December 2016
2.GEOGRAPHIC-COVERAGES fForl inforntatfoit-it#t r r officeslG Page see wwWceh$US OWcOnStWctfart/drop ,
Okf yo trpteadt Sys t 1 eve a coverage charge Yes �Jo Skip - 3
Mark art IX)in the appropriate box said enter tile requastedin d; fs irr 5ecrtmt
051 IJlPermits no longer required to build new tts€dentia[ '";Effective Date .. _ ..
mfr;
05213 Permit office has mergeowith another permit jurisdiction ,. Effective Date Name of permit jurisdiction with which your office has merged
053 EJ Permit officehas split into two of more jwrisdictions . Effective Date Name of additional jurisdictionls)now issuing permitls)
0641 jExtruterritorialjpri�El3)1'%41111'"4°..,
il of .anon-• .n Effective Date Define ETJ or annexation
3.NEW:HOUS G[U I fS
•
a. there any building i d tor'
or new hciusi units durhsg thla period?
,59�
des,enter data below., o,stop'and return this form.Your relaoft 3s ff1(portant even if no permits were issuii ed.
Te l Number of Total Valuation
Type of Structure F'' of Construction
Buildings Housing1 Units t$iniac (31 wnitcents)"
(11: (2
101 b.Single-famityhott ;�andattached(m ust meetthekd €riteria:
no unit above or below the other:wall extends rAin ground;to roaf=� ,
separate utilities for"each trnitttExcfudemanu t#tt ens�f I"
103 C.
Two-unit buildings
104 d.Three-and tour-unit buildings
05 e.`Five-or-more unit buildings
4.ADDITIONAL 1N)€3Rl Tt4 £}hl IN RESIDENTIA)"PERMITS,FROM SECTION 3,VALUED AT S1,0ptl,000 , moot
(If more space is needed,pie e amt Separate sheet,)
Number of
Description and Site Address Owner or Builder Valuation of Construction
Buildings Housing Units ($value-omit cents)
Ill 121 (3) 141 15)
Kind of building Name
Site address Address
MN
City,State,ZIP Code City,State,ZIP Code
Kind of building Name
Site address Address
MN
City,State,ZIP Code City,State,ZIP Code
5.COMMENTS(Continue on a separate sheet)
is.PERSON TO CONTACT REGARDING THIS P
REORT E-m
' JHUailLTMANaddress@CITYOFOAKPARKHEIGHTS.COM
Internet web address
Name JULIE A HULTMAN
Telephone 651 351 1661 Fax 651 439 0574
See instructions on reverse side.