HomeMy WebLinkAboutHome Occupation Permit 13-10 o Case File No. ' v i
Property Identification No. c� j- -i` 7 — 0 40 _O
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City of Prior Lake
en 1 APPLICATION FOR A HOME OCCUPATION
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Brief description of proposed project
Requested Action (Please describe the proposed amendment, project, or variance request.
Attach additional sheets if necessa
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/Iarne ( Mai? 's Cleo "i`pr,5 ),
Applicant: j,, n, ,- hC -S i) 17•^s „i
Address: is '140 Coar?A O r w, .3Do tr lb.1 . Vcsc' , 4111 sc? 78
Telephone: / - k i- - c:1t7 - )_ 7t 5 (home) (work) (fax)
Property Owners (if different than applicant):
Address: 5 Be ,.rrcr& 54- Pt , '0 r Lojer /Yin i S 7
Telephone: (home) (work) (fax)
Type of Ownership: ❑ Fee ❑ Contract for Deed ❑ Purchase Agreement
Legal Description of Property (Attach additional sheets if necessary):
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
guidelines, a d understand that applications will not be processed until deemed complete by City Staff.
� , D 94-11.016.4-1 / 1— /'l — g0/3
Applicants Signature Date
Fee Owner's Signature Date
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