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fv Err <br />(425J 257-8810 <br />Plan Check No.: <br />Application Date: <br />Tenant: <br />Owner: <br />Job Address: <br />Proposed Use: <br />Description of Work: <br />C1209-005 <br />9/6/2012 <br />[fenName] <br />MUSTACH LAND DEVELOPMENT LlC <br />352019TH ST <br />NEW HOUSE-BASIC 427 <br />Plan Check Fee Paid: SO(ALL FEES INCULDING PLAN CHECK <br />WILL BE COLLECTED AT PEP:v:'T <br />ISSUANCE) <br />'I'hc building permit appliccuion for Ihc abovrrefcrcnced projcct is bcing conditionally accepicd for filing <br />pcnding ihc detcrniinaiion of i�s complctcncss. <br />If the Ciry revic�v detennines thnt �my additional land usc approval or any .�dditional in(omiation is <br />required tu complcte your buildin� pennit application, i� �vill be necessary io submit this addi�ional <br />inlonnation or acquirc thc additional land usc approval prior to your application being considcred complete <br />Ibr filing. If no othcr land usc approval or �dditional infomiation is required, your building pcmiit <br />application will bc considcred filed as of �his date. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br />WITHIN 160 DAYS FOLLOWING THE DATE OF APPLICATION. <br />` � 7 � - :, <br />� <br />Signaturc '� <br />i <br />�1� /� ��C� � , <br />,« <br />FILE COPY <br />