HomeMy WebLinkAbout2004-10-20 Fence Section Replacement - BO Waiver of Permit Req. .,..., .„..,„
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Oak Park Heights et' 9 , III
Application for Permit
Owner:`ccn,,
nd 4 ;' I Q s Contractor: Q,.1 Ins-[I Rt.
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Address: ■ I,.� ' it La V Address:
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Phone: (6 ) 4I-2 O c `' f le Phone: ( )
JOB ADDRESS CLASS OF WORK
Number Street
New Add Alter Repair Move Demolish
altatC2- as )►= n n n n
Front or Width Side or Length Height in No of Area of Type of Occupancy Project Valuation
in Feet in Feet Feet Stories Lot Construction
Occupied
a?Qc_ 4 $ i I.QO.ob
Legal Description (if no address assigned:
I Description of Work Being Done: 1eplacLf b cn T C \ O (n k tY c
Ila a • . . A A ^ I . e 4 - . 1 1 1 ' Al e ag.
By signature below, the applicant hereby agrees to work in accordance with the Ordinances of
the Local Municipality, State Building Code, and the requirements enforced by the City of Oak
Park Heights Building Department.
The applicant further agrees to notify the Building Official of each the required inspections 24
hours in advance as noted upon the Inspectiionn Record Card.
/>Y {'-"-` Tj\}QiLJ Dated: 14%164
A PP lic nt's Signature
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For Office Use Only: ,%�/
City Building: N
City Plumbing:
City Mechanical: Jim Butler, Building Official
Plan Review: City of Oak Park Heights
State Surcharge: ate^~
Si na e: 14168 Oak Park Blvd. N. `" ty1Lry
City Utility Meter: P.O. Box 2007
Utility Connection: Oak Park Heights, MN 55082 `i - , A_
Utility Inspection: `-'i Gfi' 0 o'''
Metro S.A.C.: Phone: (651)439-4439 y
Investigation Fee: FAX: (651) 439-0574 \ )u C\
Other: 0 '
Total:
�i °4 " CITY O"
',. .: ,, OAK PARK HEIGHTS
At. 14168 N. 57th Street•Box 2007 •Oak Park Heights,MN 55082•Phone: (612) 439-4439•FAX 439-0574
• MEMORANDUM OF ACKNOWLEDGMENT
TO THE CITY BUILDING DEPARTMENT
Be it known that Iartshatinee (a\ S have applied for a permit from the
City of Oak Park Heights requesting theo erect a fence on my property line located at the
following address: 5L1( cEnth L).
Be it further known that, in compliance with the request of the Building Department of
said City,I have spoken with the property owners adjoining my own property of my intentions.
By their signature below, each of these property owners have given their consent for me to erect
said fence as outlined on the backside of this page.
Name/Address �/ Date
1) , ! _ _tit:6 i' /=5 I (_' (-`)- ): r;' - -- -% '-/
,isi---f ci / ( i' -6,,,L- ,„_. ,-- ---L--c V
2).
I
3).
4).
I am fully aware that it is my responsibility to lcoate survy pins to enable positive identification
of property lines.
•
,K__,.— Tz. i 4 .,' ! I .0i ( 164
Applicant Signature Date
Tree City U.S.A.
CITY OF
F-s * , OAK PARK. HEIGHTS
E 14168 N. 57th Street•Box 2007 •Oak Park Heights,MN 55082 •Phone: (612) 439-4439 •FAX 439-0574
ADDRESS :
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