HomeMy WebLinkAboutPl 1983-2193 KFC � ^t
FEE SCHEDULE Permit No. 6' 19"-?
�� �� CITY OF OAK PARK HEIGHTS Plan No.
439-4439 (For Dept. use only)
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PLBG. APPLICATION FOR PERMIT
CONNECTION 0/ti ci 6414'71'
Date 4' / 19 6
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MOUNT DUE STRUCTURE USED AS
REFRG HANG
BUILD . HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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-1 ),t) c`" e h )kxe4ddress
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Address
:ontractor ,� Zito ctijv a t Address .0(' ''/
or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS:
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❑ NO /' /(/ice
3ned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
es of the City of Oak Park Heights.Contractors must register with the village before per c e issu ,,
OWNER/CONTRACTOR SIGNED ,'
OK'D BY