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7of PR / CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
I ° AND UTILITY CONNECTION PERMIT 9 / z - / 2 --
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4'NNEso'c' 1 white File �,� /
2 Pint: City
} Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
•
17797vti'e
LEGAL DESCRIPTION (office use only)
LOT4"( BLOCK 1 ADDITION // IC* C P( $ n K 5 PID
OWNER n ,r�
(Name) Y� K, 14D t' A) , IN c- (Phone) 152- qf.S. -72-7 Z
(Address)
I BUILDER
(Company Name) D.R.HORTON, INC (Phone) 952 985 - 7272
(Contact Name) Brooke Hareid bmhareid @drhorton.com (Phone) 952- 985 -7806
(Address) 20860 Kenbridge Court, Lakeville, MN 55044
TYPE OF WORD DDeck DPorch DRe•Roorng DRe- Siding DLower Level Finish [Fireplace
DAddition DAlteration DUtility Connection � ((.e tt;E LEVEL)
CODE: ZI.R.C. DI.B.C. ❑ Misc. 3 , I __ �'t// .
Type of Construction: I II III IV V A 13
PROJECT COST /VALUE $ °y
, 3 G L", cJ
Occupancy Group: A B E F HI MR. Su
(excluding land)
Division: 1 2 3 4 5
1 hereby certify that t have furnished information on this application which is to the best of my knowledge true and coraect. I also certify that t am the owner or authorized agent for the
above meauoned property tnd that all consntretion will conform to all existing state and local laws and will proceed m accordance with submitted plans. 1 am aware that the building
official can revoke this pe in for nisi rat Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed tnspecrions
T —
BC60565 - -/ �
_ -. -_ —_
nature Contractor's License No. f Date
Permit Valuation 3 f 00 U . o Park Support Fee #
Permit Fee $ . 75 SAC # $
Plan Check Fee $ 6 Water Meter Size 5/8"; 1"; $
State Surcharge $ / � Pressure Reducer $
Penalty $ l Sewer /Water Connection Fee # $
Plumbing Permit Fee $ sy, Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit S
Sewer & Water Permit Fee $ T Other $
r- \
Gas Fireplace Permit Fee $ __y 5-0 TOTAL DUE
This Application Becomes Your Building Permit When Approved Paid if -2 -4 Recei t ,. ,,,,
Date A1/427/2__ By j
Budding Official Date
This n 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 €onsunction to eo;nmence. Before trccupancy. 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) 4.47.4245
4646 Dakota Street Prior Late, MN 55372