HomeMy WebLinkAboutBP 1974-746 6' Privacy Fence S (Building) VILLAGE OF OAK PARK HEIGHTS Permit No. Plan No.
TOTAL FEE COLLECTED
(For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date ' LJ /!� 19 7)L
To: STRUCTURE USED AS
REFRG. HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 54] Li _ B Y X l I U
^
Owner
W ` Address r i c - 7 -- 1 1)2 . • .
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS: //0 }-4--.._,LL /6 •
BASEMENT /J
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 permiitan be. issued.
SIGNED -" �4 A
BY