Permits - Permit# 63 - 2437 Black Lake Road - 1/1/1968Miller -Davis Co.. Minneavolis
APPLICATION FOR BUILDING PERMIT
................. .....................................................................................................................................................................................
of the......... ..,Z ...................................... of.........J —Z7. Af) ..... /A0.1 . ..... ...............................................in the county of
...... ................ State of Minnesota:
,,The undersigned owner whose address is .......... . 9zt.r,...1( ..... ........ ..........................................
............ .................................................................................................................... ...... hereby applies for a permit to..........................................
.................................................. X-14W .... . .r ....... ................................................................................ (Build, install, add to, alter, repair; move, wreck, as cas ay be)
a building des .................... 0e::_
described as follows: kind of construction. .... C .? .................................................................................
front or width in feet ........... ........... ; side. or length in feet ............ i.,. .............. ;height in feet.................................... ;
No. of stories .................................... ; contents in cubic and square feet ......................................................................................................
upon that certain tract of land described as follows: Lot ......... ...................................... ; Block ................................................
plator addition. ........................................ 0 ........ . ......�.q..O.Q .....................................................................................................
which is of the following size and area; widtlz ............................. I ..................... feet; length................................................... feet;
area........................... ...... ...................................... ............. .... .. . . ............ . . .. ....... .. ...... ..............................
and said building to be known as No . .. .... �_2/3.7 ..... street.1 &� ? xx..64 4P. /rq V. 41, .........
in said ...... . ..... r
.......... .... ........ ?..e ................................. ; and hereby agrees that, in case such permit is anted, that
all work which shall 0 done and all materials which shall be used shall comply with the plans and
specifications therefor herewith submitted and with all the, ordinances of said ...............................................................
applicable thereto.
DET.4ILS .4ND REM.4RICS
7
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A�C .fC V 1.,09e .01 -n
...................
.....................Owner .... ..... .--. ......
..........................................................
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/ 2 -/ 2-001
Age J q /d
ADDRESS 21.437 B),&C K 4 A K e V p h p
SALE PRICE ? g p o %�, 08 d ac, p Qo 8
SALE DATE
First Floor Square Feet % 2 2
Fireplaces
ONE
Q
TWO
❑
Central Air Conditioning
YES
❑
NO
Extra Baths
1/2
❑
3/4
❑
Finished Basements N o
,p s % 1/4
❑
1/2
❑ 3/4 ❑
Garage
Single
®
Double
❑
/-{o 4 ►o--e.31+0i2e — e FFeCTI ve
ATI
Advanced Telecommunications, Inc.
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• 730 2nd Avenue South • Suite 1200 • Mpls, MN 55402 • Phone (612) 376-4400 • Fax (612) 376-4411 •