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Building Permit 11-1106
J W z 0 2 co ZC1 UW Z g5gz > aaa❑ 0 F _ 0 6 0 Le z V! g J v w 0li IN LL W Z 0000❑❑ > re W = tL i O w O • »� m -I Z Z O W M te C m 00II J z U V 4. 0 0 w , Oz� 0 & O to 0 a m a Z a g 1 0 C O Z f p a23 w w ee w 0 °. a a f- W o ► O a 0 0 144 x c V 8 ° Z Z v z w F co a W 0 t7Q0- N Z - h 0 -1 °a Z u J aF= N O z O ZgJ W = W Y W a' oW A OW la W Z 00W 2-- g lig O O O 15 V V 0Z Q O a 000 0 �■IN_ 0 ❑ 5 Date Recd BUILDING PERMIT, ( PRtO I CITY OCER IFICAATE OF ZONING COMPLIANCE _ 'TEMPORARY CONNECTION PERMIT p v I� �, AND UTILITY CONK r4'NE Sos I. white File 2. Pink City PERMIT NO, i 3. Yellow Applicant ZONING (°�,�) ease 1. or ■ • . and si. at bottom ADDRESS MO SS 3 7a LEGAL DESCRIPTION (office use only) MD LOT BLOCK ADDITION OWNER /� i (P hone) -- 5" 'OP (Name) .ca � er� � s��ya� 55 3c , 15505 1 Pr ,di �°� Jyno �,� (Phone) 53 V-1 >an�� BUILDER y Name) : 1.. IC .� I ( phone) I 4 (Contact Name) t SS 3 6R O. , . � . 3t SE- - p,- OY' V 1. (Address) `�`7 Fireplace Roofing ❑Re- Siding ❑Lower Level Finish ❑ �P TYPE OF WORK 0 New Construction ❑Deck ❑Porch Addition ❑Alteration ❑Utility Connection 0 Misc: ,�c, Division: CODE: DLR.C. ❑LB.C. BT W V A B / b W V Type of Construction: I II R S U PROJECT COST /VALUE S Occupancy Group: A B E F 11 3 4 5 (excluding land) that I am the owner or authorized agent for the I am aware that the baild e t hat I have famished information on this application which best oif c knowledge true and eca cordan ce th oi rm Ply. actions. I hereby certify coon will oo rtform to all is exis tinto Ile and local laws and will plot upon the Property to Perform needed inspections. and that t c use. e that th e city official or a designee may enter upo above - mentioned P for just c ause. Furthermore, I hereby agte 146(0-Y4 / O � � � � � � C l official can tevake this -- Date % �. ■ — - - - Contractor's License No. Park Support Fee # Permit Valuation ©-_ ir**2111111111111WITIFIril Permit Fee Plan Check Fee ©_ Pressure Reducer UNIIIIII Sewer /Water Connection Fee # Penalty # UIINIIIIIIIII Water Tower Fee lgNIIIIII Plumbing Permit Fee Builder's Deposit IUIIIIIIII Other ■ Sewer & Water Permit Fee TOTAL DUE Gas Fireplace Permit Fee 2.. - Recei •t No. � . Permit When Approved Paid it B �� This Application Becomes Your Building Date Build 1 Official Date ce and may proceed as requested This document documents is in accordance with the City Zoning Ordinance a Certificate es of ed. 'This' must be n in the abuse temporary and accompanying cats Zo ce and allows construction to commence. Befo occup This � to � � request Planner constitutes a temP°ratY Cx'trficate of Zoning comPlian when sign by issued. Special Conditions, if any < l Data P Director fax 952 447 - 4245 4646 24 hour no Dakota Street S .Eo Prior Lake, Minnesota 55372