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Zoning Permit (patio) 10-0034
oF PRJp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� �- � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �" y AND UTILITY CONNECTION PERMIT �' �� v. � � ���'NES��P 1 White File pERMIT NO. 2 Pmk City � • � � 3 Yellow Applicant Please e or rint and si at bottom ADDRESS ZONING (oet'ice use) � � � � c�—� �,l t N . S LEGAL DESCRIPTION (oflf'ice use only) LOT BLOCK ADDITION PID O a WNER q/�� �� 1�r�9'S (Phone) l5 2 � 7 � Z' Z S w �o .S 1! (Address) / � �J � � I"�' I�� �! I� � �� 1�lza a rz L� � � `� � 3 7� + BUII.DER (Company Name) (Phone) � (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fm�sh ❑ F�replace ❑Addition ❑Alteration � ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. �Ilsc. Z D� ZO P�7'T1 D Type of Construction: I II III IV V A B pROJECT COST/VALLTE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby cerufy that I have hirn�shed mformauon on this appl�cation which is to the best of my knowledge true and correct. I also cerufy that I am the owncr or authonzed agent for the abuve-mentioned pr pei and at all construcUOn wtll conform ro all existmg state and local laws and will proceed m accordance with submitted plans I am aware that the bmldmg ufficial can revoke is ermi r �us use rinere, I hereby agree that the c�ry official or a designee may enter upon the property to perform necded mspections , X 7 - 3G—/U � re Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ This Ap ication ec e uc Building Permit When Approved Paid ReCei t NO. Date B .3a.�v B� me - �ial Date is is to cerhfy that the requcst m t e apphcat�on and accumpanymg dowments is m accordance wrth the C�ty Zomng Ordmance and may proceed as requcstcd This document when signed by the Gty Planner co s s temporary Certificate of Zonmg compl�ance and allows construchon to commence. Before occupancy, a Certificau of Occupancy must be issued Planning ' tor Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 '4 3 i ..:. � l 3, �' ,xd ` .`�R�..�����a{� , � , c i .{,+� Y �yra� , ' .,y, , r t " � { � r,. •�` � �- , ' �`�-:' a` �". . �•.Sa �� ' _ � � ; `,'7i � �"�� :e ` � �y , 4'. ��*S` ;•. - � ";��:.����:�4.'�`�,,; . ` r � . } r' � p• '� '�� ' w " �� s:�' � '�.' � y �`�"' "" �-�'� ,��. w,. ,� y �, �X :;� e �, , . � = �m,�'~ <.�� ,,..� _�-'+�'�;;;r�f; �,} _ �'�, m �'^;�,,, :. .,�a=,�; ,� `l��•� .' 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