Permits - Permit# 404 - 2444 Black Lake Road - 1/1/1978CITY OF SPRING PARK
P.O. Box 452
4349 Warren Avenue
Spring Park, MN 55384
BUILDING PERMIT APPLICATION
Permit No.
OWNER DATE
ADDRESS 1 S4fi --S IJ 'C - D 1U G TELEPHONE
BLDR.-CONT. IC IP—O L-LL L TELEPHONE s%%/— b' f, 5
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STREET ADD kh"ff
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- EST. COST /O
PLAT Lob�r PARCEL ®ZONING 12-C l
COMPLETION DATE
Auvlication requirements
Survey ...........
Energy Comp.......
Heating Layout..........
Plat Plan ....... ®
Elevations ........
Sewer -Water Location....
Structural Plan...®
Watershed..........
County Driveway Permit...
Other
Tvoes 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. Pt.
Roofing Sq. Ft.
Garage -Size
q. Ft.
Siding Sq. Ft.
® Deck-SizeSq. Ft.
Utility Bldg. -Size
Patio -Size
Sq. Ft.
Sq. F .
Fence-Size®Ln.
Ft.
Plumbing
PERMIT FEE $ /..,2/,. � 7�
SURCHARGE
S.A.C.
AVAIL. CHG. $3'n�
OTHER $
Total $
PERMIT APPROVAL -
PLANNING COMMISSION
COUNCIL
In case permit is granted, I hereby agree to do the proposed
accordance with description above set forth and according to
visions of all ordinances of the City of Spring Park and of
of the State of Minnesota in such cases made and provided.
DATE 'V- 13 7 APPLICANT
-
work in
the pro -
all statutes