HomeMy WebLinkAboutDemolition Permit 94-0001 O pR ��h'� CITY OF PRIOR LAKE
� - 1. White - File
v , m DEMOLITION PERMIT ' 3. Yelovv - Applicant
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Permit No. ( �l � �'...
DIRECTIONS 1. DATE BUILDING INFORMATION
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN 7. SIZE OF STRUCTURE
BEFORE PERMIT ISSUED
(Please print or ype and sign at bottom). 8. NO.OF STORIES
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2. SffE ADDRESS 9. TYPE OF CONSTRUCTION
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3. LEGAL DESCRIPTION
c � 10. COMPLETION DATE
LOT [ s�J• �� BLOCK PID �� O 3'�a C� O Co � n
ADDITION �) e�dC�c `� ��2.l� v�c.�s�t3
OW ER L g� , (Address� �� ei. No.) �
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5. HI T (Name) (Address) • (fel. No,)
� CONT CT ( � (Address) (fel. No.)
I hereby certify I have furnished information which is to the best of my knowledge true and correct. I also certify that i am the
owner or authorized agent for the above mentioned property and that all construction will conform to all existing state and local laws
and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause.
Furth mo e I ereby that the ity official designee may enter upon the property to p rform needed inspections.
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- Date
CLOSED DUE TO
INACTIVITY 8/30/Ol
METRO SAC UNIT DETERMINATION � �r-- o AL FILED WITH APPL{CATION
O Site Restoration Plan
�t �T C.cr.� "'�...� 1 �-o. �a C,r.� — O Utility Abandonment Plan
O Sewer Abandonment
USE OF BUILDING SITE RESTORAT�ON PLAN O Water Abandonment
����� �-r 3�►^C l-�� Accepted by 7�f'l� O Electrical Abandonment
Rejected by O Other
CREDITS
TYPE OF CONSTRUCTION: I II III IV � Park Ded. Credit ................................................ $
Occupancy Group A B E I H R � SAC Credft ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
Division � 2 3 4
Water Tower Fee Credit .....................................$
Other .................................................................. $
This applica' n comes your -��
demolition it when approved TAL CREDITS ........................ $
By Date �� � d � Issued by Date �
This is t rti at e request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
may p ed s e d.
l� 7
City Planner Date Special Conditions if any