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fatit .a <br />Elk Rlver Flro Dcpartrnent <br />Fire & Bulldlng Sefcty Dlvlslon <br />13065 Otoao Petkqny N!7 . Elk River, MN 55330 <br />763.635.10& <br />ERFD.FABS@ElkRivcrlIN.gov <br />Request for Extension of Tlme to Obtaln Compllance with a Notice of <br />Yiolations an0.Order to Correct <br />I <br />Section l: Owner and Applicant lrform.tion <br />a2'l I <br />tfl ER <br />Phocnix ID: <br />Unit Numbec <br />3 <br />te:Zipt <br />t|rwtIt)C <br />t- <br />Cityt <br />Applicaot Neme <br />Applicaot Addrcss: <br />Detc of Ioitid Inspcctioo: <br />Codc Scction: <br />fi <br />S <br />Citp <br />Statc:zip <br />Violatioo Nuabcr: <br />Odgiod Abatc By <br />Nou: {nqtcninga axkssiotfor mon tba otc tiolaliott, nbnil an @lulionfor ucb indfuidul dolation <br />Vcrsion: August 10, 2015 <br />Policy Refercnce: 8012 (Rcquest fot Extension) <br />Prgmises <br />Addr?ss: <br />Af River, City ot <br />13065 Ordlo Pl(wy Nw <br />Er( Riw'. r, 55330 <br />LoCSIE: <br />srote Reg*: <br />PlFedr lD:I <br />.nnal lnsped.d ofl O8rIr7/15 <br />\1 1!st tntoeoed on 08D7/r5 <br />T. JoIn Cunnlmnafll\\lniial hspedor: <br />Tho vbblbns cited on th3 abov€ gromlses srtd ,6-t.!Il{umbar Ab.t. By U/A U/A U'A <br />I <br />Loceion: Froot Oltcs/Recoption lsl Fbor <br />Cat€gory i }.ail[o: <br />Cod€ S.clirl; llSFC, dE.s <br />Desshlo R€mow permlnad oxteftsin ca(,s. <br />09/06/'r5 <br />FloorDaac ption <br />Pmpctty Nrmc: <br />Addrcss ofProperty: <br />Citfi <br />Building Owncr <br />Ocrocr AddrEss: <br />Section 2: Yiolation Information