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. · ~, t ~ c' t'" iC".}''' CrlY OF PRIOR l.AI<Ef.~~~:A.;'"
i t i ~.l ~ .~. ~ $t*i~:~ :, f 1:i;~~2t:~:'~iJ.i~~;:Q,~:b,cA~+i:";h" ~:.. ." J:f:i:~~~~;='~' ~ -'
) hereby celtffyids'.'....T8 accmate to the best of
mr knowleci.98.and theCfty.of Prior Lake Is IsSuln.g
thIS pennlt based on the information I have submitted.
I take full responsibility for sny inaccuracies on this
plan and I agree that I am responsible for reb..aUng
.any structures that may be ~.lnconslstBnt with
the requirements of the ZonIng
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Property Owner.
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111'10 S U ,.., ~I S ~ Ave,
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I7?INNESO't~
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
.>tAtvNb k-It-~~.
11 \ 40 ~,Nt..t ~ I A.~
1='-L., .
44, - t1f. R2-
PROPERTY OWNER:
ADDRESS:
TELEPHONE NUMBERS:
SIGNATURE:
LEGAL DESCRIPTION:
l- B; Bt ~(~ Ac\>lT\~
2,-11Z -~-O
PID NUMBER:
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasqnably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
1. The deck must be drawn on a site plan to scale. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the ~i~y, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it iIlfringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staffreview according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available ,information. The Planning Director and B.uilding Official will then make a
determination of whether the requirements may be waived. -
I :\hjlndAuts\\yai"er.do~
16200 Eagle l.,reeK Ave. ~.E.,.Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fay. (612) 447-4245
AN [QlIAL OprORTl JNITY EMPLOYER