4621 Dakota Path - Site Hold City of �a�a�
RELEASE OF HOLD
Project Name Yc��co tti ��
Address �l� �a�5
Project Number/Permit Number___�+�'t� ���� �or i� "�
Legal Description: Lot Block Section/Subdivision �tr �0�5
Parcel#:
Reason For Hold: �5����e���nfi �°�'�a/ �tea��TC 5
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✓tP..�� ��o �'���i f era�t � i� ac.�ar �.c.e w/ �l�� �'m�t
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Release Hold On: t� Issuance of building permit
Certificate of Occupancy
t/� Other (please explain) �'���e�f��mS
Hold Released By Date
��� 3�/�
Reviewed by City Engineer Date
Please return this form to Building Inspections.
G:FORMS/Release of Hold Y07
Clty of E��a�
REQUEST FOR HOLD
Proj ect Name ����� !�`�
Address __�l� �o�"�
Project Number/Permit Number ��y ���� �D. ��j "��
Legal Description: Lot Block Section/Subdivision /�l/ /o�
Parcel #:
Reason for Hold: t�=r p�t�,� �j",��i��i� �f�-p� >���r`.���S
n,o�' r� �lr��. -� ��v�� �.�o��v-�, j� ac���-�'��� �
w� ���� �����t
Place Hold On: � Issuance of building permit
Certificate of Occupancy
f
✓ Other (please explain) 1�s�'i=c�e�,�,.�
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Hold Requested By Date
- ��2 a�/y
City Engineer Date
ll�Za �
Chief Buildmg Official/Senior Inspector Date
If approved, this "hold" will remain in effect for 15 working days. Upon expiration, the hold
may be renewed as needed. Please complete a Release of Hold form when issue has been
resolved and return form to Building Inspection
G:FORMS/Request For Hold 04-2010