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Building Permit 13. 0485
J us Z 1 (*) Q' LL Lu " LL -'aW WQ U 1 � „ §J W '' z O. Q. Q. ...a > W / C9 �' Q W, QW, Z Q o /i / ❑ ❑ ❑ ❑ ❑J w Z o '�!1 r „ e, W °s ce U. N O p J W w Z a. J Z Y Ya _ z o 0 w 0 H 2 OOLL J ` O U W °- W h 2 U 000< P 0 d m 2 W m 2 *, W c N y Z ) a of 17 D WQ yj 0 Z 1---Z O o.. 2 co a. 2e 0000❑❑ w Will- w � Ni N 0 0 Z ,. 'r a a Ls - = ill Y W ` 0 Z U LL Q U 'X? Z U 0 `L, - mss : to o4 Z o Z w H a 3 n a z < o a a 1- I - a� N O za Z W N W w W Oa o o o o � zLLN i 0 0 v a. 0 5 ? < 0 a 000000 0 /❑ ❑ ❑ E of Pjti CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0 R TEMPORARY CERTIFICATE OF ZONING COMPLIANCE a� r en AND UTILITY CONNECTION PERMIT b z `f 43 4li'AES011- I. white File PERMIT NO. ) /� / �/ 3 Y Yink ll ow A Apy J2 �p ;LL a( 3 ellpplicant / J (,/��I (((__ (J (Please type or print and sign at bottom) ADDRESS ZONING (office use) ? 38 M5C A ''' 4 / LEGAL DES RIPTION (office use only) �J 3, - e M LOT BLO A D ADDITION PID ?5 ( " (Name) d 1S ,, 0 Y L (Phone) 6' z — 3g Z — 7 - ›g (Address) .3 7 * eJ C .-L 5fiAK IC C BUILDER ( Oki G / (Company Name) ?No 1 "\1}+R t, l WS (Phone) /, - 42" 7 ' )In (Contact Name) 091U--7 1 (� {/ (Phone) (pi -- 7e_ ° <I - S (Address) & AJ IN . ,� I, N.1 0 CA [\ A / TYPE OF WORK D New Construction ODeck ❑Porch Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑Fireplace DAddition OAlteration DUtility Conn tion CODE: DI.R.C. DI.B.C. O Misc. _ Type of Construction: I II III IV V A B PROJECT COST /VALUE $ , i D 0 . o 0 Occupancy Group: A B E F H I M R S U (excluding land) / Division: 1 2 3 4 5 I hereby certi 4 t I have furnished information o t.t 4plication which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above -menq ...perry and that all const I o , form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can re , 'ell is permit for rust cause F; r h 1,/ . l ereby agree that the city official or a designee may enter upon the property to perform needed i spear m 1 X . __.mid z 127 0, z Z©/3 0 1 it atu - Contractor's License No. to Permit Valuation Park Su PP ort Fee # $ Permit Fee $ 1 7 1 ' ,cll SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; I "; $ State Surcharge $ C, V ) Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE ��' ` W $ 7f. -O This Application Becomes Your Building Permi hen , pproved Pai �' `'� O Receipt No. 6y 0 7( ( I`` 5 3 Date 51 I3 By sA Building OI' Date / This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 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 Prior Lake, MN 55372