HomeMy WebLinkAboutDemolition Permit 12. 0097 Pi)
aLL w
0
& F ZQo< - 0 \
0 ww 0 \ ]
u, ('-n- v re■ z
0 w 0 0 Y 2 z§
, � 00000\ / > &
S 0 ""
w I
li I § \ et
�a� w ® Z k
ILI
a §§ ��
A § \ §
w i Z a 2 _ ? ? 77 j� § k \\%
0 k q a 6 f b' E b f z
ca C3 CL�SIj2 w w § §
000000 i } j § $
N Ili
a Cl. E
.1 2
>7 2 Di
® 0 \
W / z ° \
\ 0 0 o � \ c %
0 2 § 0 S / 4( /
a. r. 2� 0 4 z w • w " j
0 � \j� 2 § §§ § ° E
§ § § Z �����§ u u a
o? < 0 a. 000000 0 0 0 f
0, PRIOR
` CITY OF PRIOR LAKE
c_.) �
DEMOLITION PERMIT Date Rec
A NNE S 2. 7. / G
e7 'e'd PERMIT NO.
Please .eor'rint and si_natbottom L 7
ADDRESS $,/ /� !.o-
t ZONING (office use)
LEGAL DESCRIPTION (office use only) `/
LOT BLOCK ADDITION /�
PID 2.5, 14 0 6(.9, 0
OWNER '
(Name) I
• (Phone) 1 2 l 4/ z 9 g 2
(Address) I
CONTRACTOR
(Company Name) ' 1 —
Ii (Phone) 61 1 '2 0 �� U Z
..
(Contact Name) Al -
(Address) (Phone)I '�/�y
Use of Building: —
INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
❑ MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
1 hereby certify that I have furnished information on this application 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 - mentioned property and that all construction will conform to all existing state and to
laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just a
Fur �•rmore, I hereb local
y , gree th. t the city official or a designee may enter upon the property to perform needed inspections. 1 use.
Signature '
Date
This Application Becomes Your Demolition METRO (MCES) SAC UNIT
/ r
/ Pelmit When Approved DETERMINATION p / ,-_ ,
u r-
�_ /111h. Buildin - - --_
_, ` Date fr 4n
o�
i
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.
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