Permits - Permit# 411 - 2444 Black Lake Road - 1/1/1978CITY OF SPRING PARK
P.O. Boat 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING Pg& APPLICATION
[on IW.1
Permit No.
DATE O -,:2y -
ADDRESS
TELEPHONE
BLDR. -CONT.
TELEPHONE
Location of Pro22sed'
/Im/provv�ement.
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STREET ADDRESS
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EST. COST
PLAT �9
PARCEL Y �_O0 ZONING 4i -
COMPLETION DATE
Application requirements
Survey ..........
Energy Comp....... Heating Layout..........
Plat Plan .......
Elevations ........ Sewer -Water Location....
Structural Plan...
Watershed.......... County Driveway Permit...
Other -
Types of Construction
NEW CONSTRUCTION.
REMODELING
Single Family
Sq. Ft.�
Addition Sq. Ft.
Multi -Family
Sq. Ft.
Interior Sq. Ft.
Commercial
Sq. Ft.
Sub Level Sq. Ft.
Industrial
Sq. Ft.
Roofing Sq. Ft.
Garage Size
Sq. Ft.
Siding Sq. Ft.
Deck -SizeSq.
Ft.
Utility Bldg. -Size
Patio -Size
Sq. Ft.
Sq. Ft.
Fence -Size-In.
Ft.
Plumbing
PERMIT FEE $ (.n
PERMIT APPROVAL
SURCHARGE $
PLANNING COMMISSION
S.A.C. $ COUNCIL
AVAIL. CHG. $
OTHER
Total
In case permit is granted, I hereby agree to do the proposed work in
accordance with description above set forth and according to the pro-
visions of all ordinances of the City of Spring Park and of all statutes
of the State of Minnesota in such cases made and provided.
I`
DATE /_.