2006-03 Land Alt 5942 Benjamin Street NEReceipt A
Fee: $�
CITY OF FRIDLEY
I LAND ALTERATION PERMIT
APPLICANT An e it i ue Fredet SPM Tel. #
Address 5 `I`(2 .tavtl•n S -F IJ C Fi^tallta.I M IJ SS q3 2
NAME Ayle l t L&e-- k• t t e o<c r cs
Address SSyZ ' �h�awti✓� Sf A1E rlloi(P
NAME SUSAvI I OKeM4`rcwA
Address CS c"wv-
Ce -d Tel.#_763-Z3t�- 1 49"U
(u 5!51(3 2_
LEGAL DESCRIPTION OF PROPERTY
Lot 7. Block 2 Addition V a r 1 c h a k
Qro�erIID. 2y -30 -2Y -1I —e13I
Address: 5 9 { 2 C3 e n i Q vvI " n S+ IOC *n01 1 W MO 5S `(3 'Z
DESCRIPTION OF LAND ALTERATION
Value of Work: $ �UU NStar[ing Date: J (A Completion Date:
Source and Composition of Fill: I
PURPOSE OF LAND ALTERATION
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