HomeMy WebLinkAbout1984-03-23 to 04-03 Banner Permit FEE SCHEDULE - Permit No
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, • PARK HEIGHTS Plan No.
DG. 6 439 -4439 (For Dept. use only)
JRCHARGE
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. LITY
aL PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION 3/x 3 _ 1 Date . 3 — c7a— 190t.
AMOUNT DUE STRUCTURE USED AS
REFRG HANC
BUILD HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
E TC`'
0 )4,y5 O F Tile / ' Address / 6v 74 57
Address
Contractor Address
--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
p YES DETAILS OR REMARKS:
❑ NO
igned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stri t acc ce with
yes of the City of Oak Park Heights. Contractors must register with the village before per • e issued.
OWNER /CONTRACTOR SIGNED
OK'D BY