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Plen Check No.: <br />Appl�atlon Date: <br />C0112•004, 005 8 006 <br />12'072001 <br />Owner: OELLERSON CONSTRUCTION <br />Job Addrese: <br />Proposed Uae: <br />Descriptlon o1 Work: <br />95TH PL SW MLOT 1 <br />NEW HOUSE • BASIC 2177 <br />Plen Check Fee Pald: 30.00 EACH <br />The building permi� application for �he above-rekrcnced project is being condilionally nccepted for filing <br />pendmg the de�erminution o( its rompier.ness. <br />If the City review determines that any uddnionnl land use opproval or any additional in(ormation is <br />rcquircd �o comple�e your building permit application, it will be necessury to submit Ihis additional <br />information c: icquirc �he ndditionnl lend use appruval prior to your npplicntion being considercd completr. <br />for filing. If no other Innd use npproval or udditional inforniution is requircd, your building permit <br />application will be considered filed as of this dnte. <br />BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISaUED <br />WITHIN 180 DAYS FOLLOWIN(i THE DATE OF APpLICATION. <br />�_�.�� <br />Signatu; e <br />.,�...�� a�a�:�: <br />; v�' ; nr,y <br />,�� ,,.. ; �., <br />'�, (IIP�_ .�?c <br />' -f'{_, „�, <br />FILE COPV <br />