HomeMy WebLinkAboutBP 198x-2145 Driveway FEE SCHEDULE ✓ 'r f Permit No.,/q'
�4 0"-e 439-4439 OF •A PARK HEIGHTS Plan No.
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439-4439 (For Dept. use only)
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CLBG. APPLICATION FOR PERMIT �
CONNECTION Date /� , 19
MOUNT DUE /D—re STRUCTURE USE AS
REFRG HAND
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG's
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d , ,-* '' / Address
- Address
:ontractor 2. Address
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
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i BLOCK ADDITION OR TRACT
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WIDTH DEPTH I SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS:
❑ NO
aned 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 before permit car e issued.
OWNER/CONTRACTOR SIGNED 7 z5.1-- /A Z � y
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