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P - 36741From: 763 441 8673 Pa�e: 1/1 Date: 8110/2011 9:21:31 AM .....,, .., _.._. ,......... ..._.�...._. __.. ....... .v w ... , ,_ ........ Zns�ections 7�3-572-3604 7�3-502�4 77 F,A,X DATE ��� 9TI'E �1[?DRHSS �' 'i'iiI3 APPLICAlV'T 1S: L7 tOW�#ER PROPERTY OWNER/ NAh1E��f TENANT ,uw�s; P}iO1�tBrC •NAM&: �OP�TT'RAGT�R ALx1�Rti.9! u�J'BMIT A CDPY QF PHON$ � 1CbUR SfiA7� LI�CBPi�6 ' STATE LI ��oF s�vax�s �l� � S(zH:,,,,. PRdFO'SED H�[GH'T, G�'�y t] Alwniaum [7 fkLer tlt+lo �'latt Review F'me Si��ci�ge 5tu�ar�e Y.i�ense �urcharga SAC Ch�ge Gurb Gut Escrovit �'C��IQti �Opft�� park Fe� SewGr Mein �hargs BUIL�IN+� R��IDENTIAL AP�LIC,ATICIN CIT� ��' F�TDI.,�3� 'YoUR S.MAtL,nDDR�SS . , FINiSiI a•xovas arn�r n �tovss � vn�►c�a G ATTA�IED i"xARAfiE C� DETACix$!} (;AIt�tGB Q8� �1'y'rim � gtacis Ld'i�AT�O�N CiF �3I+i�OWS � E�G'i�E i997U�C: F�A3� G DFiAiN TIL$ 0 �TH�R Permit No, r Re�eiVCCI $y; �� t. 8`xislin� F1oor Ple, a. p�!apoar,�i �oor pian 3, Ls�t of e�ucttatyi! maa�b.rs t0 Op:�� FOR NB�k► Ct}N97RI1Cit�i �tiWCi b�5, 1, $ite P�atV$4iNeY ehawin��s muat�pll�tiwl�s at�d propaoad p�j�c�. �. �'woa��fCa1ri9W��,q 3. &tet�y Celcu7p�s 659�r otHUiiding Psrmit Fee .001 tim�ps the total,�vb valuatioa .0005 x �e�mit V�tueu�ri tvl�infrt�u�xt�Sr30 $5AQ (State Licen�ad Residantlat Ccmiract�rsj 51825 per SAG Unit (PienB tO 1VIWWtCC for d�Drttnin�riaa) ��.'�' � � sx �� �i X �+G�k �' ,���. S45D Conservat�on P1an Review Fba �etermin�d by Eng;neerit�g' �B�Qme�t n��esssrY � ) Nvn N�aaaary { ) T�W �1ue � $ (� �����e �����Y��,le t4•. City aiF�ldle� At�ch �{lipittir�ttiana' .��,��� THIS I5 A1V A�.ICA Ow FG1R A P"BttM3T-N�DT �AL[U VNTII, eR4�FSSEb ] herel+l'`eDpl3' li�' a b�ildit►�i permlt u,d i�Q��� that dw i�emt�On abova i� eotnptete and sCC1m'ete; ihat the w+ark wiU bo iri �rsnenoe tniFth fh0 cudinenaeo �d ooder vf the CitY � FTidloy atyd wi#h 1ho Minneeois etrucrion Codea; H��t u»de�nd �tis I, �at a permi# but oniy an ��ppli�tiun i�Dr � p«mit apd,�rmit is � to atac! wirl�t a pe�mit oa� elte; tlut khe warY w�l ba in ae!' .o,w'i�jtAc aPRenvad in �dse ar�e ai�U wark which reyutr�ea, r�cr, iaw and afpig�, 8IC1�A'Tt71�B OF AP�''LIC�INT �- ��"� • PTtI�VT NA14R? t"� "' I�AZ�3����' f�[ �I.PFRt?V� �Y , � DATE +� .m�Y 1 � 1 U... ..:7�l�ll ... ` � .. .. .... . . �