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� <br />�1 � <br />^,� <br />, <br />Plan Chock No.: <br />Applicetan Delo: <br />Tona•�t: <br />Ownar <br />Job Addro55: <br />Proposod Uso: <br />Dostnptwn ol W ork: <br />Plan Chock Feo Paid� <br />soz,2•oaa <br />12/�12002 <br />RICK PEDERSEN <br />CAh10ERS BURCH <br />4615 S 4TH AVE <br />GARAGE <br />ATTACHED GARAGE <br />81.41 PL;N CHECK! 12525 PERMIT <br />i� c,`'ulJmg permi� appliiaUon for �he atnirr�c(crrnced pnryr:t i. t�cm� .onJ�uon.�ll�� .ieccpicd for liluig <br />�rnJv g ihe datermina�ion nf i�s a,mpletene�s. <br />It thc Ci�y re�-icw� Jeicrmmc� �hal am adJmonal I.md u.c appn�val �tt an�� adJil��mai m��nmauon i� <br />rcywrcd 1�� a�mplctc y��ur budding prrmn applicatinn. n w�Jl hc nccc..ar�- lu whmi� �hiti addihunal <br />iNnrvution or a.ewre �hc adJmonal land uu appru�al pn��r tn ����ur apphcatiun txing run�iJered rumple�e <br />for tihng. I( rx, othcr larxf u.c appro.al or adJmunal minrm:�i�„n n requueJ. puur hudJmp �xnni� <br />�ppii.'auun u ill tx a,midcrcJ filcJ a� �d ihu datc. <br />BUILDING PERMIT APPLiCATIONS EXPIRE IF NO PERMIT IS IESUED <br />WITHIN 180 DAYS FOLLOWING THE DA7E OF APPLICATION. <br />� , �� `-�' ���-�- <br />ti��turc <br />S)+ic � <br />�� <br />i; <br />FILE COPY <br />