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�J <br />I <br />Plan Check No.: C0106-002 <br />Application Date: 06/012001 <br />Owner. GOERTZEN HOLDING INC <br />Job Address: 11720 23RD DR SE #LOT 6 <br />Proposed Use: SFR <br />Description of Work: NEW HOUSE - BASK 2090 <br />Plan Check Fee Paid: 30.00 <br />The building permit application for the above -referenced project is being conditionally accepted for filing <br />pending the determination of its completeness. <br />If the City review 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. If no other land use approval or additional information is required, your building permit <br />application will be considered filed as of this date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br />Signature <br />06-01-01 4:OOPM <br />0 105002 <br />PLAN CK 710.00 <br />If 106003 <br />PLAN CV 30.00 <br />TOTAL 60.00 <br />Date CHEFS <br />A OM3057 <br />FILE COPY <br />