HomeMy WebLinkAboutHome Occupation Permit 13-09 Case File No. 13
Property Identification No. ?,3' 5 -O55 --0
OPR/0 City of Prior Lake ��� APPLICATION FOR A HOME OCCUPATI
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Brief description of proposed project
Requested Action (Please describe the proposed amendment, project, or variance request.
Attach additional sheets if necessary).
-Rnme Sol or, -YE — Fn boor i
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ham,
Applicant: N 1 C _ ok .. �j -I rl
Address: _�lP�� ��A 1 ' rr N In/ Poor 1_nk MN 557j`7Z-
Telephoner (p -1 fl 0 (home) (work) (fax)
Property Owners (if different than applicant)' 1....1 I A � 44—i ( 1
Address: W M i� K— 0 K- A 5 0
Telephone: - ' 1 7-ci (home) (work) (fax)
Type of Ownership: ❑ Fee ❑ Contract for Deed Purchase Agreement
Legal Descyiption of Property (Attach additional sheets if necessary):
ii i s t an r i me, ti - ery 2 v-r4e --�� Lo-1- O 1 1p
- ‘640( IL 002, Su t vt i ct, c=i
To the best of my knowledge the information provided in this application and other material submitted is
correct. In addition, I have read the relevant sections of the Prior Lake Ordinance and procedural
gui� es,
anc will not be roce ed until deemed complete by City Staff.
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Fee Ow 's Signature to
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( ion ) A
The building in which this salon is located is ner uc tion.
1. Applicant must attach a copy of the signed, dated Certificate of Occupancy issued by the City or County in which the
building is located.
2. Applicant must attach statement from Zoning Official that salon is in compliance with zoning ordinances, or obtain
signature below:
Salon address inspected and meets zoning compliance
Signature of Zoning Official Title Date
Print Name of Zoning Official City or County Name Telephone Number
Section B
The building in which this salon is located is an existing building. The Applicant has made improvements or
changes to the salon which requires building permits and zoning approval.
1. Applicant must attach a copy of the Building Permits issued by the City or County in which the building is located.
2. Applicant must attach statement from Zoning Official that salon is in compliance with zoning ordinances, or obtain
signature below:
Salon address inspected and meets zoning compliance
Signature of Zoning Title Date
Print Name of Zoning Official City or County Name Telephone Number
Section C
The building in which this salon is located is an existing building. No Building Permits or Zoning Approval was
required by the City or County in which this salon is located. Obtain signature below:
3C I g / Az o� ! /OW / r, or Lo- , /HN s
Salon address inspected and meets zoning compliance
/ n e r �O /6--/3
Si n ture of Zi ing Official Title // ' Date
We /14,z.�ce / G e 9S ? — 4 9 7e
Print Name of Zoning Official City or County Name Telephone Number
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