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P - 62694
Bui�di:�g ��5�1�!C'�14��' i��1�i-J !L-�6Q� /��^����'7'T ! 7 �� STrE ADl7W3S5 t i�S APPLiCANT I3: UWN��t! �r�n�v� �v�a�rr �► cc>� o� it�D[T� S'�'ATE I.IC81'YSE„ �3pNU AtVi► CEI�'T1F"LCA'�E OF Tk�tSUR1�NGE �R11R17"[x.#"� From: 7635193932 Page: 1/3 Date: 4/13I20121:26:57 PIVI �������� �►������� + ���.�������� , ! �T�"x OF ��.IDL�X YOLiR F�rItiIA ��.c� e. � � . N p q�tER L�dN'�RI•1CTOA NAME: � �- ' � � _ ADDRBSS:��D g� �r �r° Y��O_t' rz�o��"z (e �- �' $�f` 1(.� Nnr�s, � � r�a� � s�n,a�Lrc�s�,� t� � �23 �,! t ----a 57'A't� �C?ND�! A'C1URiS5t i � � �� � P'��?M3 � e� �'j . � �iCi�.S FAINILY � aF wo�: � a rr�w nF�rnaU� ��s�tr�oN o� t�a�a� [�Tiri.i���� ";� �r4nc��rT I� �'O�vrxHUiTSE 6 _ , , , L�� a : • �T��� a � r , �' !��?";��- ..:�.a!��r i , Y F6B5 ARE $ASTD ON �14.b0` 4`ER FDCR7RFw �iCCEPT WI�Rt.B NOT'Eif. FlXTUEt13R; (1NDICh773 TaTAL NUMQEIt V� �AG�1 ��M..b'G�. D�A±f1�EU11r1 FEE $35.54. $A,TH STNYC/LAV _FI.C�R DRAiN5 SHOWI3R � WA'.f#R FFPtNG � 13A'�Ffi1J� CiAS FIPriVG jNET•.D'GT�'Y LTC) � SW[MMEl�1C POOL _ WRTErt 50F7'NER (t33) ,,,,_Cr.f3TH�S WA3I�. KYr�et�t StAilC wn�x CLOS�T �„FftiG[{F[.�W PRE}f. (�15) DISHWASi�R , o i,J1LTN[?YCY'SfiAY �„WATER F1EAii'sR ($351 FQR TRRiGATiON '— ,^ WAS'CR MFs'�'R�t t37�i�R , .. t � .' ` • �y • .' ' .': . . l'�,1L1sf161�1•YY"��111�'l� �'��.�,,,,,, ,.._ 7� $'��:i� � �' .:`�.._..�' � •.' � � < : • . . . ,•.. •. .. . . • . , •: „ ,. , . . ., , : Y frilYa�'CS.�:��5 �C1 "7c $T5:+�4' � ` ' ' , +�va�n�be�t �o� , .. . . , ,.. _ , -: . ,. . � , ; . ., � : . � l�T�ntti�r:�f�'� (� �+3�.o�t „�,:; x �3s:�a � �._.�a�� �?� . . ..... ; , 4 t �1� �11EC�� �,r�,ui�,� ` # . ,, , : +•. :; . , �j,{� . : :tS1A'!l1�1f�117lrf1i���Ctl,i�i'f. .:: �' , .. ., ,i.'t11M�i �'�,�'r' (`G� �� '''� . . . . . . ... . _ . . ..._ ,L •• - .a � . ... , . i �� ... . _ . �`..,... TEDS I5' AN A,PPLiGA'�10N TQR A Fi#RMl%NOT VALID [)N'1'ti. t�l��FA I hereby apply far a plumbfing p�nt►it ahd I aokx�owledge � the ia��4r�tia� abava is coz�+plet� snd a�xura� ti�et th� vwarlc wi11 t� im t;an�orr�eanr.� witfi the oxdi�ances and r..cniea vf the City 1�y �d with 1�e Miu�mesota Gonstructivn �vdes; that I un�s1 th�s is nmat a p�t but ooly a�n applicat�ian fa� s pe�zr�� ` s�ot ta st�rt witt�aut a penmit on sitc; tii�aE #he work v�rifl be im o with tha apR�'oved plan in the �f a11 • l� i r�vie�w and app�val of plans. SICi�iAT[It�F bF A1�PL1CFli+i7` .._ ` iN1' TiAME _ w� �4 (�., G sw ��,. �k�'E��' Al C//_13�U ��� Of i+'Z'Idley �ng Inspect�otts Uep���nt �� � ux�x��s;� A���� rr�, �'��u�y, N��1 55432 '763-572-3604 �'AX: 7�i3�5�12-4977