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� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��
" ___. � AND UTILITY CONNECTION PERMIT ��� � `
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,. Wh;k Fik pERMIT NO. ,_ �,� 3
2. Pmlc City
3. Yello�v ApplicaN
Ciit OI t �L{� i tt bOttO�
CfL�1�i.J.S L.��� (O�Ct IYt)
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LEGAI. DESCRIPTION (offia use onty)
LOT BLOCK ADDITION PID
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x 2 d � `�S 7 � �"��S
S' Co�r's I.ioa�e No. Dwe
' Yaluatioa ' �"� Park 8nppoit Fa # S
Permit Fee S � 7 SAC # S
Plan Check Fee S Water Meter Sise S/E"; 1"; t
Suu Surcharge S Pnssurs Redwaer S
Penalry S Sewer/Wateer Connectioa Fee # S
Plumbing Pernrit Fee S Watrr Tower Fee # S
Mechanicai Permit Fee S :'1 �'�� Bnilder's Deposit S
Sewtr 8c Wata Pennit Fee S Other S
Gas Fireplace Permit Fee S TOTAL DiJE S
TLis Application Becomes Your Bnilding Permit When Approved p�d Recei NO.
Date - B
. �� � � ����
Buildin Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordiaance and may proceed as xquested. 17�is document
when signed by the City Planner constitutes a temporary Certificate of Zoning mmpliance and allows construction to commence. Before occupancy, a Certificau of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 .