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�� P CITY OF PRIOR LAKE BUILDING PERNIIT, Date Redd
ti�� � i�'�, '' � TEMPOR�IRY CERTIFICATE OF ZONING COMPLIANCE
" �,� � �� �� `� AND UTILTI'Y CONNECTION PERMIT
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z_ � F �. PERMIT NO. 7 )�
3. Yellow Appficmt / L /�" �
ICASC OT � a� 8 � bO�Li
ADDRESS ZONING c� �)
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LEGAL DESCRIPTION (office ine onty)
LOT BLOCK ADDITTON PID
OWNER
nv�> �',� M.�s °r �n.,&� �-i�sa � c�� q Sa � ��o - 6a � 7
cAa�s� � 3� A-�z I"L
BUII..DER
(co�anyNam Midwest Gutter & Siding, Inc (�hone) ��a 550- �(,$ S
(cornact ivame) 12610 53rd Ave N ��
Plymouth, MN 55442-2082
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TYPE OF WORK ❑ xew cons[ruccion pDeck QPach xoosng �e-Siding �.ower L.evet F;n;sh ❑ Fireplace
�Ad�ion []A�OII QU�itY C
con�:: �.a.e. [�€.B.e. Q �
Tppe of Constcy�ctio� I II IQ 1Y Y A B 2 O�
Oc�Y Grou�►: A B E F H I 11� g 3 U P�OJBC? COBTlYALUB S I� � J�3%OO
Division: 1 2 3 4 S ( l�od)
I hereby oatify that i have facm�ed �kOrnoaam m thn applianim which is w tbe be�t of � Immrkdge troe s�d mrrect i sbo ca�'q dfaR I am t6e mvner ar amha�ued a$mt f� the
above-menaoned propaty and that a8 om�oian will oo�a:m m aII eri�g shme a� io�al hws ml �vll prnczed m aacoidanae wilh submiacd plaoa I am swa�e t6at the bu7dmg
� moke ihis pe� for' • F�adiamae, I l�aeb� agee that du c�p offsialor a des�uoe may mternpan tl� pmpati to pdform nceded 'mspxtions.
X� ' ►�'�� Bc aa-( l� 6 � o- 9 -! 2
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Permit Valuation Park Suppcxt Fee # $
Permit Fee � SAC # $
Plan Check Fee s Water Meter S'rrx 3/8"; i"; S
State Surcharge $ Pte�e Reduoer t
Penaity S SewedWaber Comeetion F� # S
Plumbing Permit Fee $ Water Tower Fee # S
Mechanical Permit Fee $ Bu�dea's Deposit $
Sewer 8c Water Peamit Fee � Otl�r S
Gas Fireplaoe Permit F� S TOTAL DUB S � 9�
T� Ap�lic�ioa Bccoses Ye� � Te�it �ie= �R!!�� P� O
Date D / D
Buildin Officiai Dete
1� i+ to «rtif'� e�at t� aeqaat i�e a6o+re a�ppiicati� ami acoo�i�docoseaY 's i a000�d�oc � tle C�j Zaw� ETt�isor a�i �eiq poaad as �eipe�. 'fha dornmmt
whea sigaed by the Citp P�r cmumrca a tempo�p Ca�e af 2m� o�np5a�e and albwa ooaw�eaiaa m ao�nomce. Befac oow�y, a Cee�time af Oaupancq moet be
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Pleeti� 13ue�iae� I1te Caad�ois. if any
24 iie� eelice f6r aH ios�eeN�m (952) 447A�A, fu AS2) 447-4?45
46�f Dduta 3treet S.E., P�iar Lky 11�aefa 56392
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