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HomeMy WebLinkAboutME 1975-913 New Single Family 3 , s Permit No. l3 $ .07f (Building) VILLAGE OF OAK PARK HEIGHTS Plan No. (For Dept. use only) TOTAL FEE COLLECTED DOUBLE FEE COLLECTED ACCOUNT ORDINANCE VIOLATION IMARK X IN SQUARE) APPLICATION FOR PERMIT Date : - -- Ia To: STRUCTURE USED AS REFRG. HANG MARK BUILD PLUMB. HE T INSTALL ALTER REPAIR RE ROOF RESIDE MOVE WRECK SIGN SQUARES U BY X Owner 11112-1! Address I twD'I _ -' - t2' ' n r • Architect Address 6�I ICI u I Contractor . . Address Contractor Reg. No. NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS /L/669 5 -Pt • X- LOT BLOCK ADDITION OR TRACT I D / WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE o 0 YES DETAILS OR REMARKS: N fl ( � Q BASEMENT o NO h i S0 © 0� T Us `� `"" 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. BY L.44...46421 SIGL.44..L.44...46421 `