SD-2011-00366_0001.tif i
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CITY OF BLAIR
j 218 S, 1 6TH STREET
BLAIR, NEBRASKA 68008
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SD -2011 -00366 u:� .,��� (402) 426 41 - FAx
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09/01/2011 DECKRAMP Commercial October 17, 2011
s' LOCATIONOFIMPROVEMENT: 1882 Holly St, Blair, NE 68008
�•i 4 � ARCHITECT; GENERAL Acme Sign Inc.
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OWNER: Hayden Place Shops LLC CONTRACTOR. 1313 Vernon St
i 11506 Nicholas St North Kansas City, MO 64116
Omaha, NE 68154
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NATURE OF WORK PROPOSED USE
S Primary Commercial
PROJECT NAME PERMIT EXPIRES 03/10/2012
1882'HollySt- 100823 -New Retail /Commercial �
ESTIMATED COMPLETION DATE 2012 - 01 -31
DESCRIPTION OF WORK
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Wal -Mart Signs
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DEPOSIT PAID BY: SITE PLAN SUBMITTED, NA
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS BUILDING PLANS SUBMITTED: Received
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1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
b. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
a tion.
Zw� 10 - 17:1
Signature f Applicant Date
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