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HomeMy WebLinkAbout06 June DUE DATE: JULY 4,2011 OMB No.0607-0094:Approval Expires 03/31/2013 ce,�i C-4O4 REPORT;OF BUILDING OR ZONING PERMITS U.S.DEPARTMENT OF;CO RCE �a-�2 2o1oY DEPARTMENT end T sc cC i x�u`I. ISSUED FOR,NEW PRIVATELY-OWNED HOUSING UNITS U.S.OENSU"13 iiE,U` Please mail OR fax this form to: 0027556900 2 40401201106 U.S.Census Bureau 27 556900 2 163 1 0 NVR 1201 East 10th Street 378 33460 Jeffersonville,IN 47132-0001 9� FE`S SEQ03635 Y- JULIE A HULTMAN Fax: 1-877-273-9501 COMMUNITY DEVELOPMENT OFFICIAL o q FOR CITY OF OAK PARK HEIGHTS JUN C G I 14168 OAK PARK BLVD N PO BOX 2007 Please read instructions on 04 PARK HEIGHTS MN 55082 the back of this form. CIT{OF Ox,K e , For further assistance.call F1 . ' go III III II I I II II I II I III www.c845-8.44v/permitsfaq ore-mail us at iti .RCB.BPS©census.gov (Please correct any errors in name,address,and ZIP Code) 1: P tad Eqta.valf lauw ,rdF, p JUNE 2011 2 'q4°RR,� E ti... gt illi to ttrvYftes� vera e4se wwwut> ertstygrjry e a®j, r�,� Did you mi 4y e a v e�ange : ■ tat/neue �s p f4ectron It1arkan(Jrnt)r�appfo�nafe°,��je and,enter erequesfetlr�ormairy ,(�morespa ��e'e�edcbrf�r�uern ��°!ar�.�"� �,:���,��,��. ���}:;- 051❑Permits no lonpger repurrea!tobdild Itewtesrdential bfilldmgs Effective Date f ,.mag 4 ?r a'e %4' r; - 052❑Permit office has mOgeled='GVItA heritermrf n5drp rgn Effective Date Name of permit jurisdiction with which your office has merged 053❑Permit office has spfitmia two or«lore"junsdietrons=- Effective Date Name of additional jurisdictionlsl now issuing permit(s) 054❑Extraterritorial jurisdretloii(ETJ)/Annetation ':'Effective Date ETJ in miles or define annexation 3. NEW HOUSING a. Were there any bund g per i issued fur trew housing unfits during his 4rgrrro4 fro ❑Yes,enter data 6efoux 3"` No,`iT6 a'nd'refurh this form.YoCi't report i5,lilip ttrall e Q l a S i stied Total „t 1f5`eT O sn S' Type of Structure � ,� 1t tt�t,�1��' �U kiln B�51(J { i i 5 til= ... �i� � .» > .. (�'! � � tot b.Single-family houses,detached and attached(must meet,the following criteria: no unit above or below the other;wall extends from ground to roof;and, separate utilities for each unit)(Exclude manufactured HUD-inspected homes] 103 c.Two unit buildings 104 d.Three-and four unit buildings 105 e.Five-or-more unit buildings 4.ADDITIONAL INFORMATION ON INDIVIDUAL RESIDENTIAL PERMITS,FROM SECTION,VALUEDI' ,1�UtQ(I OR MORE ' (If more space is needed,please attach a separate sheet.) � � Description and Site Address Owner or Builder s �� �el�,� U tte e C hst ffftlbtt. Bt3tlriin s nisi � rar'oeAit ramc-� 11 (2) r moatga, (4i... Kind of building Name Site address Address City,State,ZIP Code City,State,ZIP Code Kind of building Name Site address Address City,State,ZIP Code City,State,ZIP Code 5.COMMENTS(Continue on a separate sheet) e``` Sa xw ` T E-mail address 6. PERSON TQ CONTACI3EAfD11 �IS # f}IR JHULTMANQCITYOFOAKPARKHEIGHTS. Name Internet web address JULIE A HULTMAN Telephone Fax (651)351-1661 (651)439-0574 See instructions on reverse side. USCENSUSBUREAU