HomeMy WebLinkAboutSI 1972-465 Sign - Clark Oil per approved variance .39.402 1ltg.046a .
A/
Odt S•TATe A Permit No. 414s
$ 39. ° (Buildin ' 41 VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 4t,tt?"- AC- 19.22
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1 Li �(
BY X �l
/�; / / 5 4q3 - 4o- y1 .
Owner � ��/'� CO/2 nG- ` �''G ��'�� Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET 1 SIDE BETWEEN WHAT CROSS STREETS
/4/4493 60" Sr- A .
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
❑ YES cao +T 4/40,4/ t /,2, 1T e.,/''C .-BASEMENT
❑ NO grill- ////G oil A(0r 7-c. LX CzeO .3-.2 r
/o7t1L
L. l/l/.TZE , q
A v,, 4C-0 ''llZ,.'€-'61 34/6 47,. -'r
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 villagfe by re per • t c•f�be i ue.
SIGNED C !%i ,.�/ -> •_ / ,_ , v (d4
BY �c r. /
4,.