APPLICATION FOR BUILDING PERMIT PRESQUE …

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OWNER"S NAMEAddressCityStateZip CodeCountryOWNER"S PHONE #Directions To BUILDING SiteAPPLICATION FOR BUILDING PERMIT PRESQUE ISLE count department OF BUILDING AND ZONING 151 E. HURON AVE., BOX 110 ROGERS CITY, MI 49779 (989) 734-2915*** WITHOUT THIS INFORMATION , YOUR APPLICATION MAY BE DENIEDTownship Property CodeDistrict NO. 4 Health Dept. Septic Tank PERMIT NO.:***Contractor's Name:Phone Number:Address:License #Expiration DateFederal Employer ID Number Or Reason For Exemption:Workers Comp Insurance Carrier And Liability Insurance Carrier Or Reason for Exemption:Reason For Exemption: MESC Employer Number OrReason For Exemption:Type Of Improvement:New BuildingAdditionAlteration ModularMobile HomeFoundation OnlyRoofDemolitionPurpose Use:Other SpecifyFire RepairDeckPole BarnCar PortGarageOne Family HomeEstimated Cost:***

OWNER"S NAME Address City State Zip Code Country OWNER"S PHONE # Directions To Building Site APPLICATION FOR BUILDING PERMIT PRESQUE ISLE COUNT DEPARTMENT OF BUILDING AND ZONING

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