HomeMy WebLinkAboutDemolition Permit 94-0007 O pR ���'� � t� ;� �; ;., ;, CItY OF PRIOR LAKE
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Permit No. � �I r O
DIRECTIONS 1. DATE BUILDING INFORMATION
SPACES NUMBERED i THRU 10 MUST BE FILLED IN 7. SIZE OF STRUCTURE
BEFORE PERMIT ISSUED / OID
(Please print or rype and sign at bottom). ��/� 8. NO OF ST IES
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2. SfTE�,D� E S /`�� �` 9. TYPE OF NSTHUCTION
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3. LEGAL DESCRIPTION �� / l'1 — O� " 10. COMPLETION DATE
LOT IO'��' I Z BLOCK PID ��� �� 1�� � �
ADDRION ` �.�� �O J•N/ !'7 tl l� � ��
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4. OWNER (�� ) �� s � (Address) (fel. No.) ���
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5. ARCHRECT (Name (Address) (Tel. No.)
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6. T CTOR ( am �a dress) I No.)
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t h reby certify I have furnished information which is to the best of 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 pr eed in cordance wi submitted plans. I am aware that the building official can revoke this permit for just cause.
Further r, I he y ee e a ''��-- -�^�� �^+�� ����n the property to perform needed inspections.
x �%�—� CLOSED DUE TO �����y
s' a�,� INACTIVITY 8/30/Ol �
METRO SAC UNIT DETERMINATION �—�i. Q_�� `na�C.t MATERIAL FILED WITH APPLICATION
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O Site Restoration Plan
• �J � O Udlity Abandonment Plan
O Sewer Abandonmeni
USE OF BUILDIN;�� SITE RESTORATION PLAN O Water Abandonment
v� �-G Accepted by H� O Electricai Abandonment
Rejected by O Other ��^ar� � w. cJ-�'+�-.. t..) l
CREDITS ��_-� �'ws'�
TYPE OF CONSTRUCTION: t II III IV � Park Ded. Credit ................................................ $ 5�
Occupancy Group A B E I H � M SAC Credit ......................................................... $ � o
Sewer & Water Connec. Fee Credit .................. $� a0 .
Division 1 2 O 4
Water Tower Fee Credit .....................................$ O
Other .................................................................. $
This applica' becomes your OTAL CREDITS $ Z�
demotition it en approved ������������������������ �
By Date ��� ���! Issued by Date �� r �"� �1
This is to certify that the re uest in the above and accompanying documents is in accordance with the City Zoning Ordinance and
ma roceed as requeste
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Ciry Planner Date Special Conditions if any
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