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HomeMy WebLinkAboutPL 1975-000898 New Single Family '"N, , 11 SCJ Permit No. p f D $ i'7-- --° (Building) VILLAGE OF OAK PARK HEIGHTS Plan No. (For Dept. use only) TOTAL FEE COLLECTED DOUBLE FEE COLLECTED ACCOUNT ORDINANCE VIOLATION (MARK X IN SQUARE) APPLICATION FOR PERMIT Da ?c 1 `�s X1.00 L A To: STRUCTURE USED AS REFRG. HANG BUILD PLU . HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN MARK SQUARES It BY x - Owner 0 .. 1 Z-4-c--k- Address S(c) \L C(*) k)Stt...0--1-N_CLU-s2 Architect y� V)03,5, 1-1\c„ Address General Contractor R �C- � �Lb,5, ,'mac„ Address 97 (jI( -'ide-rt � ,441(e. Ri Contractor Reg. No. G t r e L e, Pi>t et; - (Yl i Y1 n • NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS LOT BLOCK ADDITION OR TRACT 4 -� 1�`�-k EL&. WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE ❑ YES DETAILS OR REMARKS: 7 (`_„ ,��A ", BASEMENT ❑ NO '�` y 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. SIGNED BY