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2' <br /> �� <br /> � �: <br /> \ <br /> � <br /> z <br /> 1 <br /> r <br /> ��a�ZJr7`��0 <br /> Plen Check No.: C0104-022 <br /> 'i <br /> Yt Application C�ate: 04/25/20p1 <br /> i <br /> , Owner: t30ERTZEN HOLDING INT INC <br /> Job Addresa: 11710 23RD dR SE NLOT 5 <br /> Pro�wsed Uee: <br /> Deacription of Work: NEW HOUSE-BASIC 2125 <br /> Plen Check Fee Paid: 682.34 <br /> The building permit applicaUon for the above-roferenced project is being conditionally accepted for filing <br /> pending the determina[ion of its completeness. <br /> If the City review detertnines that any additional land use approval or any additional informatlon is <br /> required to complete your building petmit app�icatio�,��wil���S�y,�submit this edditional <br /> informatian or acqu've the additional lard use approval prior to your applicatlon being considered complete <br /> for filing.If no other land use approval or additionel infortnarion is required,your building pertnit <br /> application will be considercd filed as of this dau. <br /> BUILDING PERMIT APPLICATIONS EXPIRB IF NO PERNIIT 13 IssUED <br /> WITHIN 180 DAYs FOLLOWING TNE DATE OF APPLICATION. <br /> ,'dk�;:_'�i .:LI.]_t,o <br /> �+ Oi04G�3 <br /> PLAN CY, vO.GO <br /> �, �� � �4U24 <br /> Signature '�'` r'� ' `0 (ip�� <br /> �a� Gi.040�2 <br /> F'�AN il' 6E�.3, <br /> � y <br /> � C�1040;'i <br /> F'LAFI Cf; ?C�O��4 <br /> TOTAL 1442.GB <br /> 7�'iiE�� 1+42.�J8 <br /> A Ohi�447 <br /> FILE COpY <br />