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Site Plan Approved <br />A <br />I uLL <br />CAT[ON <br />7550 Sunwood Drive NW - <br />Ramsey, Minnesota 55303 <br />City Hall: 763-427-1410 <br />Building and Inspections: 763-433-9850 <br />Fax: 763-433-9848 <br />vwvw.citvoframsev.com/permits <br />permitscityoframsey.com <br />City of L, <br />RAMSEY <br />Building <br />1=1 Water/Sewer <br />Site Address <br />PID <br />Legal Description <br />El Plumbing <br />EI Private Septic <br />El Heating/Mechanical <br />LI Grading <br />Site Information <br />674 /6„e. <br />Ei Sign <br />Year Built <br />Contractor Information <br />Contractor <br />Address <br />Phone <br />State License # <br />) <br />City, State ZIP <br />Email <br />Lead Cert. # & Date <br />Owner Information <br />Owner <br />;/ <br />Address <br />Phone <br />--,--5-c/c 5-- /6,7 <br />City, State ZIP <br />Email <br />,1-'7,/tv <br />Contact <br />Contact Phone <br />Description of Work <br />/7.10 L./._—•—• 7:7'1,1 C.- -r.". <br />Valuation (including labor): <br />Does this plan qualify for 551300.0160 LI Yes <br />No If yes, the master plan number is <br />The undersigned acknowledges that be/she has read this application and the abote information is correct and accurate. Applicant also understands ly signing this application that Ix/she could be held <br />responsible as representatia of this project for any viglation of compliance with all applicable lams and ordthances of the City ofRathsy. <br />ent <br />-Signature of Applicant or Authorized <br />/lo <br />Date <br />Notice: This is an application only. Permit will be issued after City approval and payment of fees <br />ft is our mission to work- together to responsibly grow our community, and to provide quality, cost-effective and efficient governnzent services. <br />