Permits - Permit# 07-28-82 - 2421 Black Lake Road - 1/1/1982PERMIT NO.
CITY OF aP!1114G PARK
SPRING PARK, IvIINNESOTA
'�n6 u " N G,
PERMIT APPLICATION
OWNERZte=d) DATE Tu Ix j9�
ADDRESS Zz: Xf TELEPHONE �6—�iv737
CONTRACTOR TELEPHONE
Location of proposed MoVe� Tl•o-m %C
STREET ADDRESS ig:re"j c2g1k iv �2 q'R i k6l o-cY 1OPe- %?of Lei lip i?ose Dawn)
PLAT PARCEL PIN
ZONING
Type of building to be dveaaa=iz&:
faro►
Signature of Owner
The following items must be disconn:cced and inspected before permit
will be issued:
WATER SEWER
UTILITY SUPT. DATE
MINNEGASCO iSP
OTHER
BUILDING INSPECTOR