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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-1. fl. 05
I White File
2. Pink City
1 Yellcn\.' Applicant
SEE ()5.6 (zi Z-
[PERMIT NO. 05.0G73 I
(Please
ADDRESS
~37&&
1-1I4JE;fTl Ci.-- ~;J .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2S-. ~/c;. 012-.. ()
[OWNER
(Name)
(Address)
(Phone)
i BUILDER
I (Company Name)
I
I (Contact Name)
(Address)
D ~I /J r r----l)
(Phone)
(Phone)
1-(P 1. C, 91/
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish o Fireplace
OAddition OAlteration OUtility ConnectIOn 2 '1
CODE: DI.R.C. DI.B.C. )1 Misc. I) e: I e-L_
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U
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