99-709Return copy to:
Real Estate Division
140 City Hall
ORiG1f�AL
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To
Committee=
�
1 WI�REAS, Building Permit No. 182133 was issued to Gerald Monette far a duplex to be built at 381-
2 383 Montana Avenue East for which Sewer Availability Chazges of $2,104.00 ($1,050.00 for each unit)
3 was collected by the Department of Technology and Management Services (Real Estate Division), as
4 evidenced by Receipt No. A5639, dated May 5, 1999; and
6
7
8
9
10
11
WFiEREA5, Gerald Monette, because of health reasons, has decided not to build the duplex and has
had said building pernut cancelled; and
NOW THEREFORE BE IT RESOLVED, In view of the foregoing, that the proper City Officials aze
authorized to issue a refund of the Sewer Availability Chazges to Gerald Monette in the amount of
$2,100.00.
Requested by Department of:
Technoloev & Manaeement Services
By: ��.�%t.t.{.� ��YU✓/tx�' � _ �
Director ��
Adoption Certified by Cou
By:
Approved by Mayor: Date
By: �- -�f/�.�! s�
(sacresret3.wpd}
Council File # q q� ��
Green Sheet # ����
-..� -� � . �. - \������
Form Approved by City Attorney
B y: .��l�l�"Gl'Y�^a-�
�
� q q -�4�
T.M.S./REAL ESTATE DIVISION Da�- 7J1S�9`j Green S ee Number 09455
EPAR'CNIEN'f DIIU's � � CiTS[ CAUNCII.
ontact Pecson and Phone Number:
1 ATTORNEY TTY CLERK
Roxanna T+link �� 266-8858 °� ,�� ��� Dm 2 � Cg & MGT. SVG DIlL
�l
YOR(ORASSLS"S iJNCII.RESEARCH
OTAL # OF SIGNATCIRE PAGES 1 (CLIP AT,I. LOCATIONS FOR SIGNATURE)
CTION REQUESTED:
efund Sewer Availability Charges, Receipt No. A5639, issued May 5, 1999 in
he amount of $2,100.00 to Gerald Monette.
COMbIENDATIONS: APPROVE (A) OA REJECT (R) ERSONAL SERVICE CONTRACTS MUST ANSWER 1'f� FOLLOWING:
. Has tLe persodCum ever worked under a contract for tLis department? YES NO
PLANNINGCOMMLSSION A STAFF
! . Has this personJfirm ever been a City employee? YES NO
CIVO. SERVICE COMhOSS[ON
. Aoes tLis personJfirm possess a s1611 mm �ormally possessed by any YES NO
cm ComnnrPEE current City employee?
E lain all YES answers on a se te sheet and attacL.
UPPOTtTS WiIICH COUNCII, OBJECTNE?
CouxCU, Wnxu�s) Np, niSZiuCT rLANxsrG Cou[vcn. NA
TIATING PROBLEM, ISSOE, OPPOR7'f1NITY (Who, What, When, Where, Why?):
rald Monette paid for building permit No. 182133; and Sewer Availability
harge, Receipt No. A5639 for building a duplex at 381-383 Montana Avenue East
nd because of health reasons, has decided aot to build.
DVANTAGES IF APPROVED:
refund can be made to Gerald Monette for $2,100.00 because the duplex was
ever built and the sewer permit was not needed.
tl 8S£2P� �P3 P � ��°'=�a���`�
ISADVe1NTAGES IF APPROVED: F i° `� a; °; :� "
, .�:�..:,: � :. � i=✓
one. ��l �i �r � x�u�. € �a ����
ISADVANI'AGES IF NOT APPROVED: _ - - ,r -,•�� � s � ���
.. � � � �.an_ �
ontrary to routine Administrative action. � `�" ` � �°'`� ���� �
OTAL AMOUNT OF TRANSACTION: $2 � �, O O. O O COST/REVENUE BUDGETED (CIItCLE ONE) YES NO
uvcsouxcE: Sewar Availability Ac"j'rvITYN�m�aER: 260-22209-0557
Charge
ANCIALINFO$MATION:(EXPLAIl�
(gsrefsac3.wpd)
JUL � 1 1989
��� / s � f �i' �9
,, c��.�o`i
����`����� .
�- � � �.�tz�,
,���� �> � z ����.
�y /� ���G� � 3�/ � 3 � 3 ��'�``� �
� a- .� u���t�� �� � �� ���� �dt ��. ,
���-�-��
� -2/OO, ov ,
�'�� �z� �..
, �:�� ���,�-�---
ICISPECTOR GENERAL BUILDING PERMIT �
���0��' S� � l�r � � i
���. = ��. �y
�� ,� _ ��/• a9 I
�
i
i
'�0 3335/-�.�6 G 7��d;
iy�JJs'r'1d�'°�� �r'Tlt
�� ���� �/�f9�
� �' �����`
F
� �
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i
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i
CITY OF SAINT PAUL G`�{,'��
\J I �f
CITY OF SAINT PAUL �
OFFfCEOFL[CE`SE.ItiSPECilONSA2:D �
E`'VIR0�7�(Eh"iALPROTEC170� �
BL7LD1.tiG LVSP£CTIO.V AND DESIGN i
350 Sr Pzrer S�rer� - Surre J�iQ Pem�it No. � F( (��
��SairttPauLM1finnesnrnSJ/(1_'-Ul0 6�l-?65-90%0 �
l � � %� P �f PLAN N0. �
D€,$ RIPT N OF PROJEC7
DATE � OWNER r =' � � � �
OWNERSADDRESS �fD7:` 1 L 1d.Y��� ��:
❑ OLD �' J�} TYPE OF �, 3 . � _.
❑ NEW TYPE CONST. -�' r� £' �i OCCUPANCY -� � ��' -
� GRADING STUCCOOR �ON� RT Z �_.F,'�
❑'BUILD ❑ AND EXC. ❑ PLASTER ❑ DRYWALL �NCE
G��ADDtT1�N [iALTER CREP:,iR
NUMBER STREET 51
3g I � n��, _ . ,.% �
l0T � BIOCK
WIDTH DEGTH
�or l� O ; ?U
WIDTH
SFRUG
- TURE � � �
ESTiMATEO V A�U£
� `Tz,9�9.4�
��'�uf1� ��
��,, , .��
�S G —
Sl�PM.t P�p�n i
.TA)SP--_I�r`� Wc
AHCl1tTL_T V �� �D,y;
' jJZ1T�OQ,�/
CONTPACTOP� . �
,
MASONRV
GERMITFEE .Kd
VIAN CMEGK
STATE
SURCHAiiGE
TOTALfEE
MOVE ❑ WRECK
CROSSSTREETS
, �,�,.�„_
AOOITION OR TRACT
U r'}Un S �d •
SiDE L07 CIEAAANCE BUILOING L1NE
! M
�ENGTH
l/ � �
'ns I ��,4+n I <� µ
HEIGHT STORIES
i �'� ,
. . ) / <, - y /
BASEMENT TOTAL FLOOR AAEA
YES O SQ.FT. //
IN LC UDEBASEMEN7
� -�inl -ao'�5-aa-�3-oa
SolL CoNpiT/CNS SV3JEc
To ./NSPFCrGZS f1PPec�'AC_
1`hA�NnarN PRoDgz 5�h-tt[-S
' Q -' / TEL.
�7. 30 00,4-�
�" � �/ �S {' � _
� ; GJta e l� S 7
� AODRESS & Z�P
v
STATE � �-. _ _ _ . .
48.2 �Us:a` - f,: 4, __
8 ��i e-�<_c_.rc f. - �c
. ��I �-�,s .� ���; ��E._., F_::. .:
� �:r; Si�.�RC` ; {��., :,,
��•a�n �'�E,�' �::��= _..
v
APPIICANT CERTIf1ES THAT ALL �N-
PORMATtON IS CORRECT AND THAT
ALl PERTINENT STATE REGULATIONS CASHIEn VSE ONL�
AND CITY ORDINANCES W1LL BE COM- wMEN VALtDATEO TH�S �S YOUR PERM�T
PLIED WITH IN PERFORMING THE WORK
FOR WHICH THIS PERMIT IS ISSUED.
q°t-�o9
Sewer Availability Charge (SAC)
Application cep��p
Date: �
Owner
�38 � � 38
SVeet Address
Legal Description:
� ' �
Lot Block
Address
D�P��x
Type of Facility
UnJ
N:
CITY OF SAINT PAUL
Office of Licenu, Inspections
and Environmental Pmtection
350 Sc Pote St Suia 300
Svnt Paul. Mim¢mta SSIO2-1510 ���
(6S1) 2659090
�Zg_
MEz2?aN S
Addition
/S3�
# of Employees Total Sq. Ft.
_ WL75 — � 5�4G
Basis for determination of SAC Umts `
` � Zy00 CG40.etr�
SAC Units � @ � /�0 °'� ' !`� 2
= Rea No J ��
' � � � 1�,� "-��--- .�ld g� � s /, �
Signatu{e of Applicant Date Pe rt Issued
Applicant - Whi[e Finance - Yellow Pcocessing - Pink
Return copy to:
Real Estate Division
140 City Hall
ORiG1f�AL
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To
Committee=
�
1 WI�REAS, Building Permit No. 182133 was issued to Gerald Monette far a duplex to be built at 381-
2 383 Montana Avenue East for which Sewer Availability Chazges of $2,104.00 ($1,050.00 for each unit)
3 was collected by the Department of Technology and Management Services (Real Estate Division), as
4 evidenced by Receipt No. A5639, dated May 5, 1999; and
6
7
8
9
10
11
WFiEREA5, Gerald Monette, because of health reasons, has decided not to build the duplex and has
had said building pernut cancelled; and
NOW THEREFORE BE IT RESOLVED, In view of the foregoing, that the proper City Officials aze
authorized to issue a refund of the Sewer Availability Chazges to Gerald Monette in the amount of
$2,100.00.
Requested by Department of:
Technoloev & Manaeement Services
By: ��.�%t.t.{.� ��YU✓/tx�' � _ �
Director ��
Adoption Certified by Cou
By:
Approved by Mayor: Date
By: �- -�f/�.�! s�
(sacresret3.wpd}
Council File # q q� ��
Green Sheet # ����
-..� -� � . �. - \������
Form Approved by City Attorney
B y: .��l�l�"Gl'Y�^a-�
�
� q q -�4�
T.M.S./REAL ESTATE DIVISION Da�- 7J1S�9`j Green S ee Number 09455
EPAR'CNIEN'f DIIU's � � CiTS[ CAUNCII.
ontact Pecson and Phone Number:
1 ATTORNEY TTY CLERK
Roxanna T+link �� 266-8858 °� ,�� ��� Dm 2 � Cg & MGT. SVG DIlL
�l
YOR(ORASSLS"S iJNCII.RESEARCH
OTAL # OF SIGNATCIRE PAGES 1 (CLIP AT,I. LOCATIONS FOR SIGNATURE)
CTION REQUESTED:
efund Sewer Availability Charges, Receipt No. A5639, issued May 5, 1999 in
he amount of $2,100.00 to Gerald Monette.
COMbIENDATIONS: APPROVE (A) OA REJECT (R) ERSONAL SERVICE CONTRACTS MUST ANSWER 1'f� FOLLOWING:
. Has tLe persodCum ever worked under a contract for tLis department? YES NO
PLANNINGCOMMLSSION A STAFF
! . Has this personJfirm ever been a City employee? YES NO
CIVO. SERVICE COMhOSS[ON
. Aoes tLis personJfirm possess a s1611 mm �ormally possessed by any YES NO
cm ComnnrPEE current City employee?
E lain all YES answers on a se te sheet and attacL.
UPPOTtTS WiIICH COUNCII, OBJECTNE?
CouxCU, Wnxu�s) Np, niSZiuCT rLANxsrG Cou[vcn. NA
TIATING PROBLEM, ISSOE, OPPOR7'f1NITY (Who, What, When, Where, Why?):
rald Monette paid for building permit No. 182133; and Sewer Availability
harge, Receipt No. A5639 for building a duplex at 381-383 Montana Avenue East
nd because of health reasons, has decided aot to build.
DVANTAGES IF APPROVED:
refund can be made to Gerald Monette for $2,100.00 because the duplex was
ever built and the sewer permit was not needed.
tl 8S£2P� �P3 P � ��°'=�a���`�
ISADVe1NTAGES IF APPROVED: F i° `� a; °; :� "
, .�:�..:,: � :. � i=✓
one. ��l �i �r � x�u�. € �a ����
ISADVANI'AGES IF NOT APPROVED: _ - - ,r -,•�� � s � ���
.. � � � �.an_ �
ontrary to routine Administrative action. � `�" ` � �°'`� ���� �
OTAL AMOUNT OF TRANSACTION: $2 � �, O O. O O COST/REVENUE BUDGETED (CIItCLE ONE) YES NO
uvcsouxcE: Sewar Availability Ac"j'rvITYN�m�aER: 260-22209-0557
Charge
ANCIALINFO$MATION:(EXPLAIl�
(gsrefsac3.wpd)
JUL � 1 1989
��� / s � f �i' �9
,, c��.�o`i
����`����� .
�- � � �.�tz�,
,���� �> � z ����.
�y /� ���G� � 3�/ � 3 � 3 ��'�``� �
� a- .� u���t�� �� � �� ���� �dt ��. ,
���-�-��
� -2/OO, ov ,
�'�� �z� �..
, �:�� ���,�-�---
ICISPECTOR GENERAL BUILDING PERMIT �
���0��' S� � l�r � � i
���. = ��. �y
�� ,� _ ��/• a9 I
�
i
i
'�0 3335/-�.�6 G 7��d;
iy�JJs'r'1d�'°�� �r'Tlt
�� ���� �/�f9�
� �' �����`
F
� �
�.�� , �
��� ������ �
i
[
i
i
i
CITY OF SAINT PAUL G`�{,'��
\J I �f
CITY OF SAINT PAUL �
OFFfCEOFL[CE`SE.ItiSPECilONSA2:D �
E`'VIR0�7�(Eh"iALPROTEC170� �
BL7LD1.tiG LVSP£CTIO.V AND DESIGN i
350 Sr Pzrer S�rer� - Surre J�iQ Pem�it No. � F( (��
��SairttPauLM1finnesnrnSJ/(1_'-Ul0 6�l-?65-90%0 �
l � � %� P �f PLAN N0. �
D€,$ RIPT N OF PROJEC7
DATE � OWNER r =' � � � �
OWNERSADDRESS �fD7:` 1 L 1d.Y��� ��:
❑ OLD �' J�} TYPE OF �, 3 . � _.
❑ NEW TYPE CONST. -�' r� £' �i OCCUPANCY -� � ��' -
� GRADING STUCCOOR �ON� RT Z �_.F,'�
❑'BUILD ❑ AND EXC. ❑ PLASTER ❑ DRYWALL �NCE
G��ADDtT1�N [iALTER CREP:,iR
NUMBER STREET 51
3g I � n��, _ . ,.% �
l0T � BIOCK
WIDTH DEGTH
�or l� O ; ?U
WIDTH
SFRUG
- TURE � � �
ESTiMATEO V A�U£
� `Tz,9�9.4�
��'�uf1� ��
��,, , .��
�S G —
Sl�PM.t P�p�n i
.TA)SP--_I�r`� Wc
AHCl1tTL_T V �� �D,y;
' jJZ1T�OQ,�/
CONTPACTOP� . �
,
MASONRV
GERMITFEE .Kd
VIAN CMEGK
STATE
SURCHAiiGE
TOTALfEE
MOVE ❑ WRECK
CROSSSTREETS
, �,�,.�„_
AOOITION OR TRACT
U r'}Un S �d •
SiDE L07 CIEAAANCE BUILOING L1NE
! M
�ENGTH
l/ � �
'ns I ��,4+n I <� µ
HEIGHT STORIES
i �'� ,
. . ) / <, - y /
BASEMENT TOTAL FLOOR AAEA
YES O SQ.FT. //
IN LC UDEBASEMEN7
� -�inl -ao'�5-aa-�3-oa
SolL CoNpiT/CNS SV3JEc
To ./NSPFCrGZS f1PPec�'AC_
1`hA�NnarN PRoDgz 5�h-tt[-S
' Q -' / TEL.
�7. 30 00,4-�
�" � �/ �S {' � _
� ; GJta e l� S 7
� AODRESS & Z�P
v
STATE � �-. _ _ _ . .
48.2 �Us:a` - f,: 4, __
8 ��i e-�<_c_.rc f. - �c
. ��I �-�,s .� ���; ��E._., F_::. .:
� �:r; Si�.�RC` ; {��., :,,
��•a�n �'�E,�' �::��= _..
v
APPIICANT CERTIf1ES THAT ALL �N-
PORMATtON IS CORRECT AND THAT
ALl PERTINENT STATE REGULATIONS CASHIEn VSE ONL�
AND CITY ORDINANCES W1LL BE COM- wMEN VALtDATEO TH�S �S YOUR PERM�T
PLIED WITH IN PERFORMING THE WORK
FOR WHICH THIS PERMIT IS ISSUED.
q°t-�o9
Sewer Availability Charge (SAC)
Application cep��p
Date: �
Owner
�38 � � 38
SVeet Address
Legal Description:
� ' �
Lot Block
Address
D�P��x
Type of Facility
UnJ
N:
CITY OF SAINT PAUL
Office of Licenu, Inspections
and Environmental Pmtection
350 Sc Pote St Suia 300
Svnt Paul. Mim¢mta SSIO2-1510 ���
(6S1) 2659090
�Zg_
MEz2?aN S
Addition
/S3�
# of Employees Total Sq. Ft.
_ WL75 — � 5�4G
Basis for determination of SAC Umts `
` � Zy00 CG40.etr�
SAC Units � @ � /�0 °'� ' !`� 2
= Rea No J ��
' � � � 1�,� "-��--- .�ld g� � s /, �
Signatu{e of Applicant Date Pe rt Issued
Applicant - Whi[e Finance - Yellow Pcocessing - Pink
Return copy to:
Real Estate Division
140 City Hall
ORiG1f�AL
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA
Presented By
Referred To
Committee=
�
1 WI�REAS, Building Permit No. 182133 was issued to Gerald Monette far a duplex to be built at 381-
2 383 Montana Avenue East for which Sewer Availability Chazges of $2,104.00 ($1,050.00 for each unit)
3 was collected by the Department of Technology and Management Services (Real Estate Division), as
4 evidenced by Receipt No. A5639, dated May 5, 1999; and
6
7
8
9
10
11
WFiEREA5, Gerald Monette, because of health reasons, has decided not to build the duplex and has
had said building pernut cancelled; and
NOW THEREFORE BE IT RESOLVED, In view of the foregoing, that the proper City Officials aze
authorized to issue a refund of the Sewer Availability Chazges to Gerald Monette in the amount of
$2,100.00.
Requested by Department of:
Technoloev & Manaeement Services
By: ��.�%t.t.{.� ��YU✓/tx�' � _ �
Director ��
Adoption Certified by Cou
By:
Approved by Mayor: Date
By: �- -�f/�.�! s�
(sacresret3.wpd}
Council File # q q� ��
Green Sheet # ����
-..� -� � . �. - \������
Form Approved by City Attorney
B y: .��l�l�"Gl'Y�^a-�
�
� q q -�4�
T.M.S./REAL ESTATE DIVISION Da�- 7J1S�9`j Green S ee Number 09455
EPAR'CNIEN'f DIIU's � � CiTS[ CAUNCII.
ontact Pecson and Phone Number:
1 ATTORNEY TTY CLERK
Roxanna T+link �� 266-8858 °� ,�� ��� Dm 2 � Cg & MGT. SVG DIlL
�l
YOR(ORASSLS"S iJNCII.RESEARCH
OTAL # OF SIGNATCIRE PAGES 1 (CLIP AT,I. LOCATIONS FOR SIGNATURE)
CTION REQUESTED:
efund Sewer Availability Charges, Receipt No. A5639, issued May 5, 1999 in
he amount of $2,100.00 to Gerald Monette.
COMbIENDATIONS: APPROVE (A) OA REJECT (R) ERSONAL SERVICE CONTRACTS MUST ANSWER 1'f� FOLLOWING:
. Has tLe persodCum ever worked under a contract for tLis department? YES NO
PLANNINGCOMMLSSION A STAFF
! . Has this personJfirm ever been a City employee? YES NO
CIVO. SERVICE COMhOSS[ON
. Aoes tLis personJfirm possess a s1611 mm �ormally possessed by any YES NO
cm ComnnrPEE current City employee?
E lain all YES answers on a se te sheet and attacL.
UPPOTtTS WiIICH COUNCII, OBJECTNE?
CouxCU, Wnxu�s) Np, niSZiuCT rLANxsrG Cou[vcn. NA
TIATING PROBLEM, ISSOE, OPPOR7'f1NITY (Who, What, When, Where, Why?):
rald Monette paid for building permit No. 182133; and Sewer Availability
harge, Receipt No. A5639 for building a duplex at 381-383 Montana Avenue East
nd because of health reasons, has decided aot to build.
DVANTAGES IF APPROVED:
refund can be made to Gerald Monette for $2,100.00 because the duplex was
ever built and the sewer permit was not needed.
tl 8S£2P� �P3 P � ��°'=�a���`�
ISADVe1NTAGES IF APPROVED: F i° `� a; °; :� "
, .�:�..:,: � :. � i=✓
one. ��l �i �r � x�u�. € �a ����
ISADVANI'AGES IF NOT APPROVED: _ - - ,r -,•�� � s � ���
.. � � � �.an_ �
ontrary to routine Administrative action. � `�" ` � �°'`� ���� �
OTAL AMOUNT OF TRANSACTION: $2 � �, O O. O O COST/REVENUE BUDGETED (CIItCLE ONE) YES NO
uvcsouxcE: Sewar Availability Ac"j'rvITYN�m�aER: 260-22209-0557
Charge
ANCIALINFO$MATION:(EXPLAIl�
(gsrefsac3.wpd)
JUL � 1 1989
��� / s � f �i' �9
,, c��.�o`i
����`����� .
�- � � �.�tz�,
,���� �> � z ����.
�y /� ���G� � 3�/ � 3 � 3 ��'�``� �
� a- .� u���t�� �� � �� ���� �dt ��. ,
���-�-��
� -2/OO, ov ,
�'�� �z� �..
, �:�� ���,�-�---
ICISPECTOR GENERAL BUILDING PERMIT �
���0��' S� � l�r � � i
���. = ��. �y
�� ,� _ ��/• a9 I
�
i
i
'�0 3335/-�.�6 G 7��d;
iy�JJs'r'1d�'°�� �r'Tlt
�� ���� �/�f9�
� �' �����`
F
� �
�.�� , �
��� ������ �
i
[
i
i
i
CITY OF SAINT PAUL G`�{,'��
\J I �f
CITY OF SAINT PAUL �
OFFfCEOFL[CE`SE.ItiSPECilONSA2:D �
E`'VIR0�7�(Eh"iALPROTEC170� �
BL7LD1.tiG LVSP£CTIO.V AND DESIGN i
350 Sr Pzrer S�rer� - Surre J�iQ Pem�it No. � F( (��
��SairttPauLM1finnesnrnSJ/(1_'-Ul0 6�l-?65-90%0 �
l � � %� P �f PLAN N0. �
D€,$ RIPT N OF PROJEC7
DATE � OWNER r =' � � � �
OWNERSADDRESS �fD7:` 1 L 1d.Y��� ��:
❑ OLD �' J�} TYPE OF �, 3 . � _.
❑ NEW TYPE CONST. -�' r� £' �i OCCUPANCY -� � ��' -
� GRADING STUCCOOR �ON� RT Z �_.F,'�
❑'BUILD ❑ AND EXC. ❑ PLASTER ❑ DRYWALL �NCE
G��ADDtT1�N [iALTER CREP:,iR
NUMBER STREET 51
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WIDTH DEGTH
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WIDTH
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- TURE � � �
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AOOITION OR TRACT
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�ENGTH
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HEIGHT STORIES
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BASEMENT TOTAL FLOOR AAEA
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STATE � �-. _ _ _ . .
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APPIICANT CERTIf1ES THAT ALL �N-
PORMATtON IS CORRECT AND THAT
ALl PERTINENT STATE REGULATIONS CASHIEn VSE ONL�
AND CITY ORDINANCES W1LL BE COM- wMEN VALtDATEO TH�S �S YOUR PERM�T
PLIED WITH IN PERFORMING THE WORK
FOR WHICH THIS PERMIT IS ISSUED.
q°t-�o9
Sewer Availability Charge (SAC)
Application cep��p
Date: �
Owner
�38 � � 38
SVeet Address
Legal Description:
� ' �
Lot Block
Address
D�P��x
Type of Facility
UnJ
N:
CITY OF SAINT PAUL
Office of Licenu, Inspections
and Environmental Pmtection
350 Sc Pote St Suia 300
Svnt Paul. Mim¢mta SSIO2-1510 ���
(6S1) 2659090
�Zg_
MEz2?aN S
Addition
/S3�
# of Employees Total Sq. Ft.
_ WL75 — � 5�4G
Basis for determination of SAC Umts `
` � Zy00 CG40.etr�
SAC Units � @ � /�0 °'� ' !`� 2
= Rea No J ��
' � � � 1�,� "-��--- .�ld g� � s /, �
Signatu{e of Applicant Date Pe rt Issued
Applicant - Whi[e Finance - Yellow Pcocessing - Pink