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C <br />' �azs� ss�-ssio <br />Plen Check No.: <br />Applicetlon Date: <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Descriptfon of Work: <br />Plan Check Fee Paid: <br />C� <br />C0303-02:! T� 029 ) <br />�� <br />03/18/2003 <br />GOERTZEN kOLDING INT INC <br />HOLLOW DALE PL <br />NEW DUPLEX - BASIC 2235 <br />8 � 30.00 = 240.00 <br />The building permit application for the above•referenced pruject is being conditionally accepted for filing <br />pending the determination of its completeness. <br />If the City rcview determines that any additional land use approval or any additional information is <br />required to complete your building permit application, it will be necessary to submit this additional <br />information or acquire the additional land use approval prior to your application being considered complete <br />for filing. [f no other land use approval or additional inforniation is required, your building pertnit <br />application will be considered filed u of this date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br />Sign ure <br />0'-1 d- ;? ' �l G'?i <br />`� �� �0�:,.. <br />Date �� <br />C�'c0.00/Oi �'C <br />'rL�dJ I'IC �t�0,G0 <br />i""iAL .+0,�?0 <br />,� r:�;-::. <br />, p',;,:;`_ <br />FILE COPY <br />�y��,p"v <br />