HomeMy WebLinkAboutDemo 99-0944
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CITY O~ ...RIOR LAKE . " .,/,>,_<";~,,L "~t..!~~
': O' EMOLITION PERMIT' .' \,','>~'\i~;::', White' : ,File . >.,', ,.' ,.
',2. B\ue,/:,,:.;Clty ",'j';'"
:' ':-'3. >"Y e110w ~. Applicant' ','
. " ..:.'.\:.li,\i'
Permit No.qq _:t:? Lfc..J
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'.. :~ItECnONS
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sPAbes-N"1Plt&RED 1 JHRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED "..". :
(Please print orlype and sign at bottom):
"_' .' f!" '~...,.;, .
'2. SITE IWUnl:~ ' .
.J I 3D30 Fo.,'rI/JrA.J
3:" LEGAL OE~RIPTION .
LOr 7 J g BLOCK
~~.i.....,
;;,~ ADDITION I=Ct 1;11" ~AA.j BeCtc.h
.' r ' ,~ .,
1. DATE
BUILDING INFORMAnON
7. SIZE OF STRUCTURE
8. NO. OF STORIES
,
/215D
9. TYPE Of CONSTRUCTION
.~
10. COMPLETION DATE
.'
,~. OWNER (Nall)8) ~ (Address)
.-J. ~J-::-.Ke(l(fe4~E Keret15 3030 Furv"e...uJ!?A
, ._~ -~~cJ:I!Jr~~a'"t}~ l JI r D 'I' II (Address)
. ../' ". \oo~ lJl.1JL.' 0 eL4 ,(1 O1JJJ.rX e ~
,/ ,~. ,TBACTOR tNam&)^,~ . (Address)
~ ~.~
(Tel. No.)
4LfO- 75"'17
(Tel. No.)
lItf7 -,;J/~~ :~~
(Tel. No.)
'hereby certify l.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 iR, accordance with submitted plans. I am aware that the building official can revoke this permit for just, cause.
.:'~," urth, erm~ agree.that the city OffiCial, or a designee may ent,er upon the property to perform ,needed inspeC!i.O,. n" s.
~'; ~ ~~= . / -. ~ r?"-.<:-9,9" .
(1. r r . Slg~~"\')(' lie. PC \';. "_' ..~.\, D\ja~," "~_,, .'.',' .
~ ;~ ti; i FO.v~DMINISTRA TIVE USE
~, I /____ J-.. ".--- \. '.J ~ j ~ , tf' \ ":. ,<,
M"':'o~cu~rrDerr'A~~I':-' .iJ,~iIL?II/-t. A:~LEDW~noN .
~ \. \ ' " ~lAC: \U> Uti'\,~PIa"
_ I\V .IJ. CJ ~Abandonment
USE -= BUILDING SIT~ RES lri~' ~ler ~andonment
06110 - WI /5 C. Acce~ted by "J ~ . j~ ". Electrical Abandonment
:; Rejected by ~ V CJ Oth;r
CREt~ i'
Park Oed. Credit .. .............................................. $
SAC Credit ..........~.............................................. $
TYPE OF CONSTRUCTION:
"
III
IV
V
I
Occupancy Group .
A
B
E
H
R
M
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
) t I Other .................................................................. $
This a~~F?t:oxcomes your J]OTAL CREDITS ........................ $ J
demolitiOn ~e It wh approved , .r
By :J Ij, /)1 Date fj -11/ --1 r Issued by ( . / Date 8 - (6 - r./ (
~I . 9:ert!i ~hat the request in the above an~ accO~panYin9 document:;;: accordance with the City Zoning Ordinance and
~rpr~~ ~/~/97 :
Planner Date Special Conditions if any
Division
2
3
4
-
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