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0 yl <br /> era Datc <br /> BUILDING PERMIT APPLICATION <br /> PERMANENT SIGN <br /> JOB ADDRESS, <br /> ENGINEER FEE <br /> ................. <br /> APPLICANT IS, 0()Nvnc��' 7 171 PERMIT <br /> LEGAL DESCRIPTION STATE SURCHARGE <br /> Subdivision Lca B4icL, PID-- <br /> SUNNIER <br /> ............ ........ <br /> . ........... <br /> PROPERTY OWNER NAME ADDRESS PHONE# T'ftO—RNfY"FEE <br /> Wif "I' <br /> ... ......... LICENSE S F'Z i I­E1 C,,i. <br /> CONTRACTOR/RESPONSIBI.E PARTY LICENSE# 1',j <br /> -Ai�IFH--ECK <br /> ........... ............. <br /> CONTRACTOR ADDRESS- 'PHONE# TOTAL <br /> &�n <br /> ARCHITECT/ENGINEUR(for Commercial Work) RECEIVED BY <br /> N a-me i i,; t'j 4�kP� Address -nc P� <br /> APPROVED FOR <br /> ........ ISSUANCE BY <br /> CLASS OF WORK. 0',\1cNk, 0 Addition D Remodel 0 F)CM0 <br /> CONSTRUCTION <br /> Ivi– TYPE <br /> OCCUPANCY <br /> GROUP <br /> VALUATION OF WORK: $ <br /> �AVISIO�N <br /> v7hi4permil becomes null andvoidif work orconwe ctw?t awhww <br /> ii;�m.,comment ed witbin M-dap,or if <br /> or mark ia 180 z4iysai wry time Fier work iiiaminmr-ed. TOTAL SQ FT OF <br /> I bereb-r cutiVy Aw I have read anal"arriowd ibis apqwan on,and know ibe mroe to It,i,-ue and correa Vl BLDG <br /> Provisiom oft <br /> lawi ant on inan(es goveming tbi�type oi`Work"kil",h!owip"U"!W.'?h whelber 1), <br /> n ,E), <br /> ot. 'nkgrantin a penrit does not presitwe�t,.givcjulbwlzy it) or(w)('67 ofany athm, #OF STORIES <br /> st.tie or lora constriatioll or al pv fomiayxe ofim,5trac.,s0n. <br /> MAX OCCUPANT <br /> LOAD <br /> nSi ul'e of- o tract /Responsible Party Print Name Date <br /> IOU Ai,, ,It <br /> TEiRs <br /> Signature of Properti Owner Print Name Date FIR E spRi—P <br /> 0 y I"S <br /> �p Tt Phone 761635.1060 * FAX 763.635.1090 0 No <br /> ........... <br /> Planning Department Building Department. Date <br /> 1);d,�vnuv' Aj-,,;tivmi,nm h,-,DW, <br /> t&A"r_,,, <br /> w'l i- ej <br />