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FEE SCHEDULE 0 , Permit No. o I
CIT OF OA PARK HEIGHTS Plan No.
DG �� ` 5 439 -4439 (For Dept. use only) I
JRCHARGE 1 O
-E_CK
LITY
aLPLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date /G — / d 19O
▪ MOUNT DUE I STRUCTURE USED AS
REFRG HAN(
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN.
= in n n - - jS _ - E.
h I ' /,..� Address
l/ Address
:ontracto, ��--I e .rte Address
- or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
■‘ -t4C-- i-i h./ .
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION 2 ESTIMATED VALUE
c.77_, d C/- -d
❑ YES DETAILS OR REMARKS:
❑ NO
::fined hereby makes application for a permit to do Building Work as herein specified, agreeing t do all work in strict a ordan • with
:es of the City of Oak Park Heights. Contractors must register with the village before permit c e issue
OWNER /CONTRACTOR SIGNED
O K' D Y _ _