City of Maple Grove

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Applicant

App. Type	Utility Installation
Permit No.	2016-166
UID #	247
App. Status	Expired
Work Start	09/29/2016
Work End	10/14/2016

First Name:	Middle Name:	Last Name:
Andy	James	Burke

Company:

SR Weidema

Company Phone:

Local Phone:

(763

) 428

- 9110

(612

) 490

- 5474

Email Address:

aburke@srweidema.com

Mailing Address:

17600 113th Ave, North

Maple Grove	MN	55369

* I am requesting a permit extension.:
* Please extend permit to:

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