Permits - Permit# 4-16-73 - 2447 Black Lake Road - 1/1/1973Mr. Richard Smedberg
2447 Black Lake Road
Ybund, Minnesota 55364
Bear Mr. Smedbergs
Herowith we are retittrning your check which was in
payment of your application for.a'building permit.
The Planning Commission, on April 18, recommedded
denial of your permit due to improper set back. Subsequently,
upon that recommendation the Council denied the permit as
presented.
However, Council also stated that you may reqpply to the
Planning Commission if you wish to submit a plan that complies
with the ordinance.
Yours very truly,
Patricia Osmonson
Village Clerk
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VILLAGE OF SPRING PARK
SPRING PARK, MINNESOTA
Please Print or Type
OWNER (Name)
(Address)
(Tel. No.)
PERMIT NUMBER
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ARCHITECT (Name)
(Address)
( Tel. No.)
ESTI MATED COST
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BUILDER (Name)
(Address)
(Tel. No.)
PERMIT rEE �UI\
DATE
PLUMBING FEE
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_
LEGAL DESCRIPTION (Obtainable from Assessor's Office)
TOTAL
PLAT NUMBER PARCEL
NUMBER ZONING
DISTRICT
$
COMPLET ON DATE
PROPOSED USE—
NUMBER OF OFF—STREET
PARKING SPACES
Residential Nonresidential
Enclosed
One family a Amusement, recreational
Outdoors
Two or more family — Enter —
Church, other religious
I
number of units ------
Industrial
__
Transienthotel, motel,
or dormitory — Enter number
Par king Garage
SPACES REQ._
of units ----------
Service station, repair garage
—� Garage
Hospital, institutional
SPACES ON PLAN
— Carport
Offl cc, bank, professional.
_ Other — Specify
Publ is Utility
_
School , library, other educational
NUMBER OF OCCUPANTS
OR SEATS
Stores, mercantile
Tanks, towers
OCCUPANTS
Other — Specify
SEATS
TYPE OF WORK
LOADING BERTHS
NEW CONSTRUCTION ALTERATIONS
ADDITION _
FINI SH ATTIC
NUMBER REQUIRED
FINISH BASEMENT PORCH GARAGE
._y_ REROOF
RESIDE
NUMBER PROVIDED
MISC.
SIZE OF EACH
SIZE OF STRUCTURE (Height) (Width, (Depth)
NO. OF STORIES
I
TYPE OF CONSTRUCTION
EXTERIOR FINISH
TYPE OF ROOF
00,
PRINCIPAL TYPE OF HEATING
PRINCIPAL TYPE OF FRAME
Gas
TYPE OF MECHANICAL
Masonry (wall bearing)
Oil
Gr.
Wil I there be central air conditioning?
Wood frame
Electr i cit y
F. A.
Yes
No
Structural steel
Coal
Wtr.
_
Reinforced concrete
Other _ Specify
--- Stm.
Will there be an elevator?
Other _ Specify
— Yes
No
Ay
( COMPLETE REVERSE)
PROPERTY LINE
DIMENSIONS
d
Total square feet of floor area,
all floors, based on exterior
di mensi ons ..... .
Total land area, sq. ft.
SPOT BUILDING/s SHOWING SET BACKS
MEMIME1110,11111
MEIN
011111
NMI
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M11
NINE
I
UPON
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MM
am
No
0
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STREET
PROPERTY LI NE
SCALE: 1/8" 1 FT.
The undersigned hereby represents upon all of the penalties
of law, for the purpose of inducing the Village of Spring Park
to take the action requested, that all statements herein are
true and that all work herein mentioned will be done in accor-
dance with the ordinances of the Village, Statutes of the State
of Minnesota, and rulings of the Building Inspectors.
APPROVED
VILLAGE OF SPRING PARK APPLICANT
DATE:
DATE:
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