A I’l’l ,I( ‘A’IION IOlkNl : l”I)evcIopiiiciit I’criitit
11
[OWN OF BEAUMONT
IlIIil(litt$ I’t’tiiit
D (all D Mail
51,0(1-49 Street lleuiiniont, Alberta [4X I ,t. I l’li,,ne: (780) 929-8782 Fax: (780) 929—3301)
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A. (;INFRAL Lot
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F tijail developijicitta l)C,CU niont.ib.ca
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Mun ici pal Address
CoLon ,414p
Construction Value S Receipt))
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Phone h
Fees:
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Imail
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NOTIj: If applicant is not the owner. proofofauthorizati n to act as ti:icnt is requited from the ownei
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Mailine Address
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11t,eLnaw’
-Cotrucucsn Lot
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Sat’Code Coincil Fee
Street Cleanin Fee ‘
(coxtc %
Postal Code p.0.
,‘l. ‘.Q4 2
Development Pcrmit
NO I 2 5 Datnage/PerforInance
Rein stered owner (if not applicant)
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iik:licd’Garai
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Building Permit
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Name
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Application))
Grading
tlater Inspection
Meter Installation
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GS.T.
Phone #
lIminess License
tdentiHcation D Driver’s License
Other
F P & Gas
Nouticatton Fee Abscncc of Aliandoned Wells on Parcel declaration iteeded
B. DEVELOPMENT PERMIT O Permitted Use
Upper Floor Areas
0 Permitted Use with Variance I” l)iscretionary Use
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TOT,)L FEES:
9 f9
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I louse Type
Main Floor Area
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Land Use District
Basement I’loor Area
Tax Roll
7 t
Total Dcv, Area
hi/A
21 Subdiviston
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APPLICANT AUThORIZATION ND Al’I’E AL PROCESS 1. 1 am the owner agent with the con,,etit and authority of the on ner that is the wbject mitten (if this penlut application. Fuhier I we hereby nyc toy our coSsent to itow any authorized person pin u,a1) to the ,tJi,nicipal (;ov,’rnrn’m -ti ecti,,,, 54 2. ihe right to enter the land and, or baildinn( ) with repect to this application only’. 3. 1 we understand diii in order, dcctoon or permit wide or issued by an Astani 1)evelopnient Olhicer nay be appealed by any persolt attected, within fourteen (14) ilays after lint, ilcition hiany wink or ,ctioit is taken (n wilier tinder an atiproved permit or not), wiiliin the appeal period, I we wui e any claim ,h’ltt. ho conipan sotiini front the Municipal iy or its agents sitorild the appeal result iii tIns pennit being niodi tied or revoked. Signature l)ate .-
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DECISION:
OApproved
DApproved subject to conditasns helowor attached
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Notice of Decision:
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C. BUILDING PERMI’I’
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Date h’uhhsltcd’
DReh’used
Appeal l.xpirx’ Date:
Note: Building Permit is valid
for one (1) year from date of issuance
APPLICANT AUTh IORIZATION I am the ow ncr/uncut with the coutseiti ittd authority of the ow icr tltit is the subject mutter of this build, Stgnature
DECISION:
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Date:
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sisttimt/Development Officer:
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permit ,ipplicat on.
Date: DApproved
ENGIXEEREI) FILl.
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SIBMIT
C Approved INGS
subject to conditions below or attached
0 YFS
Saielv Codes Ofticcr
ORet’used
ONO
Desionation No.
Date:
ltauttmrayni’neel,en
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M 55311
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kveiopwu, Lund Ure i ,r,,,,i)I,,e,e Pecan Fern, 1 Chegktj,ti\Hon,r Permit FormOPDev eiopnreni Bldg Prrm,i
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2)11 5-Oi -iii doe
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iipdotd 2015-112-113
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