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APPLICATION: DRIVEWAY CONSTRUCTION
Tp THE CITY OF PRIOR LAKE, MN
PERMIT
NUMBER
The undersigned herewith makes application for a Concrete or Bituminous
Construction Permit
DATE
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(for office use only)
TYPE OF PROPERTY: Ia1fResidential DO Commercial DO Industrial
ADDRESS OR LOCATION _~ (" i J ,;\~ ~vj; d L .,. IV f
LEGAL DESCRIPTION OF ABUTTING PROPERTY Lr, f C
BLOCK L ADDITION ~(ld fo ,I) It: lid OWNER Dtdo"(.
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APPROVED BY:
DRIVE APPROACH
TO CONSTRUCT New [I
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Replace 0 Widen 0
, wide (TEMPORARY, PERMANENT) Drive app.
FEE COLLECTED
Type of Material
~~31-0~
Date
When widening or constructing new driveway approaches a $10.00 fee is required at time of application and a sketch of property
showing present and proposed driveways in relation to property line.
(Sketch on reverse side of application or provide a separate plan)
As provided in Ordinance Numbers 1107.205 & 1107.206, I, We the undersigned, herewith make application for permission to construct the
driveway at the above location, said driveway to be constructed to conform with the standards of the City of Prior Lake and to any special
provisions included in the permit. It is agreed that all work will be done to the satisfaction of the Engineering Department. It is further
agreed that no work in connection with this application will be started until the application is approved and the permit issued.
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Date
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Applicant's Signature
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REQUIREMENTS
1. No work under this application is to be started until application is approved and the permit is issued.
2. Where work on travelled roadway is necessary, traffic must be protected and flags, signs, safety cones and proper barricades must be
placed in accordance with safety procedures.
3. No foreign material such as dirt, gravel, or bituminous material shall be left or deposited on the road during the construction of driveway.
4. Road must be swept clean after work is completed.
5. Prior to placment of concrete or bituminous surfacing, the applicant shall notify the Engineering Deparment that the work has been
completed and is ready for final inspection.
6. No changes or alterations in entrances may be made at any time without written permission from the Engineering Department or
inspector.
IMPORTANT: Before starting work...
The Applicant shall call the Gopher State Number (1-800-252-1166) 48 hours prior to starting work.
Applicant must call Engineering Department (952) 447-9830) for inspection 24 hours prior to time of inspection.
CITY OF PRIOR LAKE, 16200 EAGLE CREEK A VENUE S.E, PRIOR LAKE, MN 55372 (952) 447-9830
G:IPERMITSlDrivewaysIDRlVEW A YDOC
W.O. 333-83
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Survey For: BRANCALE CONSTRUCTION, INC.
SUNDE LAND SURVEYING, INC.
9001 EAST BLOOMINGTON FREEWAY (35W) . BLOOMINGTON, MINNESOTA 55420 .612-881-2455
Surveyor's Certifictee
EDWARD H. SUNDE
REGISTERED L.AND SURVEYOR
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PROPERTY DESCRIPTION
Lot 6, Block 2, SAND POINTE 3RD ADDITION, accord-
ing to the recorded plat thereof, Scott County,
Minnesota.
SCALE: '''=30'
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NOTES & LEGEND
* Proposed garage floor elevation = 988.5
* Proposed front house entry elevation = 989.9
* Proposed top of block elevation = 988.9
* Proposed basement floor elevation =
985.7
Top of Iron
Elev.=988.6
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hereby certify that this
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* The proposed eleva-
tions and proposed house
location are subject to
review and change by the
City Engineer, Building Dept.,
developer and owner. Proposed
grades and house location which are
approved by the City are final.
Dated
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SUNDE LAND SURVEYING, INC.
BY: ~.. . ~a- \.4.. ~~
Edward H. Sunde, R.L.S.
Reg. No. 8612
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