HomeMy WebLinkAboutOT 198x-2017 Concrete Driveway FEE SCHEDULE Permit No 4 : 2 lJ/ 7
_DG,. ° j -/. CITY OF OAK PARK HEIGHTS Plan No.
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AL, PLBG. APPLICATION FOR ERMIT
3.A.C. ICI CONNECTION Date — 23 19c..
AMOUNT DUE
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I4eM .�- ^
STRUCTURE USED AS
REFRG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK HAN
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oc T P. 1 L C-`Fo Address I LI LS3 -Q SS +l- Sr
_t Address
Contractor S /V■ e— Address _
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
B LOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
C:3 e.) o o
O YES DETAILS OR REMARKS:
❑ NO
n21 VE ' . -0 (CC-A-) c{� �
: :fined 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 befog � y�i npissued. / ,
O /CONTRACTOR SIGNED / �'G
OK'D BY