PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N0 71 9
Date: " .y° (c'' T
Owner:��.K�'�1 � �'�"'� g,� Builder
Address Address
LOCATIONA OF BUILDING
NO. 73 Street ,�%,oz—
Partof Lot . --•- — .._. _.
Lot __ ___ Block Addition or Sub -Division
Corner Lot Inside Lot _ _ 1Setback Sideyard �®
Sewer Elevation 81 S IY_____�_._._..— Elevation 1 ' s
?ol' ®F Foori/v4
DESCRIPTION OF BUILDING
To Used nad_ ./
Front Depth Height -0120— Sq. Ft. / Cu,
Depth Hei t . F . Cu. � p � � sq
Type o Construction Est. �� �To be Completed
f
In consideration of the issuance to me of a permit to c
the proposed work In accordance with the description above
ordinances of the city of Fridley.
In consideration of the payment of a fee of
I above I agree to do
with a'll provisions of
permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _ -f
NOTICE:
ffib permit do= not corer the conahaction, lmtallatlon for v Mh& plumbing, gas heating, awer or water. Be are to we
16 Building hupoctor for aparato paneila for thea iteum.
t
APPLICATION FOR BUILDING P201IT
CITY OF FRIDLEY, M]WWOTA
Owner's Name Builder CLEMR®NINC.
Address Address 3619 Benjamin St. M. L
�,Ilinnsao®a 0, Minn.
LOCATION OF BUILDING
No. Streev Part of Lot,`.,
Lot `/ Block Addition or Subdivisi
Corner Lot Inside Lot Setback
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
Type of
To be Completed
DESCRIPTION OF BUMING
/i TewF1� �4 ..,moi ue� siri'
Sq. Ft. /a.S 25) Cu. Ft.
FrontDepth Height
Sq. Ft. 7 ® Cu. Ft.
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Build gs, and hereby declares that he facts andrept tations
stated in this appli ion;are Xrue and correct. _ 7 � =7
DATE // /-�O SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.)
F�OF
DLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
January 30, 1990
David Kiefner
7331 Memory Lane N.E.
Fridley, MN 55432
Dear Mr. Kiefner:
Recently the City received information suggesting that you may be
renting out the basement of your residence as a separate dwelling
unit. The City's Zoning Code prohibits operation of a multi-
family dwelling in an R-1 district. (Copy of dwelling unit
definition is enclosed.)
At this time, the City is requesting that you supply our office
with some information. We are specifically interested in the
number of people living in the dwelling unit, whether or not they
are related to you, and the number of entrances and kitchen
facilities within the residence.
Please contact me at 572-3595 to discuss this matter as soon as
possible. Thank you for your cooperation!
Sincerely,
Steven Barg
Planning Assistant
SB:ls
C-90-05
CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
January 6, 1993
David Kiefner
7331 Memory Lane N.E.
Fridley, MN 55432
RE: First Notice of Noncompliance at 7331 Memory Lane N.E.
Dear Mr. Kiefner:
The City of Fridley has established a City Code for the purpose of
promoting a pleasant and attractive suburban environment. A recent
inspection of the property at 7331 Memory Lane N.E. revealed that
not all Code requirements are presently being met. Listed below
is an item which does not comply with the City Code:
1. Discontinue outside storage of hot water heater located in the
front yard.
Your prompt attention in correcting this situation would greatly
assist us in helping make Fridley a better place to live. An
inspection will be conducted on or about January 18, 1993, to
determine compliance.
If you have questions or would like to discuss this, please contact
me at 572-3595. Thank you for your cooperation!
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
CE -93-03
0
SUBJECT
PERMIT NO.
City of Fridley
f
AT THE TOP OF THE TWINS
BUILDING
PERMIT
A-1-2250
RECEIPT
16.
COMMUNITY DEVELOPMENT DIV.
_
v PROTECTIVE INSPECTION SEC.
�t7[ I1 �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
9t0-F15
f5/16/94
JOB ADDRESS
7331 Memory an
1 LEGALLOT
NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4 1
Melody Manor 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
John Miller 7331 Memory Lane NE
-
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
D & D Home Improvement 7401 Central Ave NE Fridle
784-7543 4840
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USEOFBUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Lk REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (17 Sqs) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS
GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$935.00
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISION ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$25.00
Fire Sc
STRUCT) OR THE PERFORMANCE OF CONSTRUCTION.
.94
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$31.44
SIGNATURE OF CO TRACTOR OR AUTHORIZED AGENT (DATE)
W EN P
BLDG INS
LY V LIDATED
THIS IS YOUR PERMIT
DATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
0
• fd �
NEW [ ] eve 5/26M
ADDN [ ] CITY OF FRMLEY '
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
s ,+
Construction Address: %33/
Legal Description: ° 4�
Owner Name &Address: Dhzll A&& Tel. �8 v
Contractor: D 8 D Home Improvement Inc -MN LICENSE #. 4840
Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
Coma Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks
Type of Construction: ja,,5, 1r12f,� /,� s�—/Mjt mated Cost: $ 3S_
Approx. Completion Date: Tmg,J , a my fl
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = • Ft x $ = $.
DATE: J
APPLICANT:
Tel. #
Permit Fee
$ 06
CM USE ONLY
Fee Schedule on Reverse Side
Fire Surcharge
$ qzl
.001 of Permit Valuation (1/10th%)
State Surcharge
$ S�O
$.50/$1,000 Valuation
SAC Charge
$
$750 per SAC Unit
License Surcharge
$ C?
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
Conservation Plan Review $450.00
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$� ��
STIPULATIONS:
/ A
SUBJECT
city of Fridley
f29504
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
• _ COMMUNITY DEVELOPMENT DIV.
SEC.
r � � PROTECTIVE INSPECTION
CITY HALL FRIDLEY 55432
NUMBERREV
15120/99
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
JOB ADDRESS 7331 Memory Lane NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1 1 Melody Manor 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John Miller
786-0886
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Eagleview Const. Inc. 2937 174th Lane Andover MN 55304 753-5469 20067043
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION KX REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (21 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1799
$.90
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$63.15
Fire SC $1.80
PLAN CHECK FEE
TOTALFEE
S Z -O
5;�....AlE
Li cen S $5.0
)5 $70.85
OF CON'RACTOR OR AU-OORIZEO AGENT f IDITE.
EN RO ALIDA THIS IS OU PER IT
AG77
S-GNATURE OF OWNER,IF OWNER BUILDER. IDATEI
INSP
HATE
/ A
NEW[ l
Height -
Effective 5/10/99
Height
ADDN [ ]
Hgt/Ground
CITY OF FRIDLEY
$ OD
ALTER [ ]
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
f�f
$
Park Fee
BUILDING PERMIT APPLICATION
Construction Address:
7331
MCMDLIV64*tk
U�
Legal Description:
Owner Name & Address: J D)
Mi Hex— Tel. #
%J?& — 6514
Contractor: ���a�.�
�� �1 �.�. MN LICENSE # 2o0407W3
Address: dq 3'7
1 7YA::
Tel. #
-`?5-3—S`tt-9
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF IMPROVEMENT
Width
Height -
Width
Height
Width
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: / n rip
yp �'pt� ee -�z Estimated Cost: $
Driveway Curb Cut Width Needed:
DATE: Sr r -7/7-7
Ft. + 6 Ft = Ft x $
APPLICANT: Tel. #
Permit Fee $ 6J /-S—
Fire Surcharge
$ 480
State Surcharge
$ 90
SAC Charge
$
License Surcharge
$ OD
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ D . S
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
IT NO.
City of Fridley
2 5 1 7 6
AT THE TOP OF THE TWINS
BUILDING-PERMIT
r
REC
• ______ COMMUNITY DEVELOPMENT DIV
v
r I PROTECTIVE INSPECTION SEC
3�t�
I �
NUMBER
REV
DATE
6/13/97
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
I.J
612-571-3450
910-F15
JOB ADDRESS 7331 Memory Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1
Melody Manor 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jon Miller 7331 Memory Lane NE
786-0886
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Northern Crest Inc 8245 Polk St NE, Spring Lake Park, MN
55432 792-9364
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20098415
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install basement egress window
9 CHANGE OF USE FROM TO
STIPULATIONS
Egress window must meet the State Egress Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED
NO. DWLG. UNITS
OFFSTREET PARKING
1
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$550
@@
$ • 50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$23.75
@
Fire SC $.55
STRUCTION OR THE PERFORMANC OF CONSTRUCTION
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
$29.80
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY LIDATED THIS IS PERMIT
Lp INSP
/Y//OJUR
V l./
r)ATE
SIGNATURE OF OWNER I IF OWNER BUILDERI (DATEI
NEW
ADDN [ ] CITY OF FRIDLEY Effective 1/1/97
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 3 Aem ot-
Legal Description:
Owner Name & Address: \-ro t-1 of I Tel. #
Contractor: A/ �Qk-n (I ff5 --r MN LICENSE # do q 8
Address: �- /I/L SP mAl S5-Y3a Tel. # /7 �S'6
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:
F�res 5 Wv ft 404", �1') Rcf-�--00'"Estimated Cost: $ �J ®r
(Fee Schedule on Back)
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: O .3
APPLICANT: Tel. # ��
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
SS
.001 of Permit Valuation (1110th%)
State Surcharge
$
S—O
$.501$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$
-C-, 6) 0
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
CITY OF FRIDLEY PERMIT O.: 2004-01910
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 10/18/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS 7331 MEMORY IN NE
PIN 113024130004
LEGAL DESC MELODY MANOR 2ND ADD
LOT 4 BLOCK 1
PERMIT TYPE BUILDING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 3,000.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE. INSTALL SOFFIT AND FASCIA. VENTILATION PER 2000 IRC.
STATE LICENSED CONTRACTOR 1
APPLICANT BUILDING PERMIT FEE 83.25
ALL CITY CONSTRUCTION LLC 20458729 FIRE SURCHARGE 3.00
945 BROADWAY ST NE STATE SURCHARGE, VALUE 1.50
MINNEAPOLIS, MN 55413- LICENSE SURCHARGE 5.00
TOTAL 92.75
OWNER
MILLER JON F
7331 MEMORY LN NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating co ction or the performance of construction.
Applicant Dat
Bldg Insp Data
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
yyq:> CC--
NEW
CA
NEW CITYOFFRIDLEY�
Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 7331 me r»ag y 2e-mP tr td le x Mg, 5's fl? 2
Legal Description:
Owner Name & Address:J-w M. Bev -7331 MeTel. # 74? --78'6 - OSI A
Contractor. C (f2n s k„ --r oA LLC MN LICENSE #. ?C 20 8587 a9
Address:�i''�S 1�ra a� �, �A v� f K f M® /S, fie^ SKV/ 3 Tel. # _412- 7cP/- 0 Y03
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER: V
Construction Type: Estimated Cost: $ JIVID
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $,
DATE: APPLICANT: ��/ ZeL - Tel. # 6/Z 7jri -D f�-S
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A” or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: