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Building Permit 14. 0801
J 0 • a 0 000000 -0 0 a E0 n 0 a © © 0 0 � � �� om § �� § 00 § s § i E § § 6 [LI 91 ® r -1 -1 ® Z $ = 0110 P 2■ t t 0 § § � 0 Z z § -hi fig • § \ n in m % m r �� ✓ o x-I % k00 000000 CD z - mm mrM $ mr / ? 7 o Q � . §E § � ¢k m o Co § )4 rn 8 § K � T § we - r0 § 0 0 C c z ■ m z § z $ m P e N3 TI0 I m c k2m . >O ❑ DD0 � �� n § k a. vz C -a-a � § \ z § kg 4 A AIS ■ . 2 Co 5 § C ' m r ti of PRI � CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 I / d `` Cj AND UTILITY CONNECTION PERMIT ,J L� U ���NES��P I. White File 2. Pink City PERMIT NO. ` 3 Yellow Applicant t ( (Please type or print and sign at bottom) ADDRESS ZONING(office use) 5"113 (Alyk4ViztAA Cic-t----. i S-e LEGAL DESCRIPTION(office use only) LO /' BLOCK 3 ADDITION IU, aee,��i��'C )A J 2 Dit i/D j� j,-' t 1/0-'0 (Name) 4)0 Q A) / 0, e-i (Phone) (Address) 6713 6Y bc1.V c)+, 1), ,,',,, tLk IQ ,v 6331 2__ BUILDER * F. J/�Q ��� (Company Name) i i. 4' _g. .i .i /[i `. - i (Phone) 1/,Z.-- y (Contact Name) Te.... A,�Az/24 (Phone) "t1 P(Address) "1b dPdr� �r �E. �sy1 ctk r )46- M'L7 TYPE OF WORK D New Construction jieteck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish n❑Fire`lace v' DAddition DAlteration ❑Utility Connection �y ) -,•�s r w R CODE: L .C. ❑I.B.C. ❑Misc. e.ei� �I 7i N� gel 1( /N ts_4 Type of Construction: I II III IV V A B ©O Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ q, 000 (excluding land) Division: 1 2 3 4 5 I 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 I am the owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a//deesignee may enter upon the property to perform needed inspections. A €6.0 __. ,67604( �i �/ ✓/ Signature Contractor's License NNo. Date Permit Valuation 5-0a Park Support Fee # $ Permit Fee $ -7.-.4" SAC # $ Plan Check Fee $ i 7.-n" Water Meter Size 5/8"; 1"; $ Co,State Surcharge $ . so Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE Qkuela 4 • [4_ $ 41 7s" s 4i ifY9 ) This Applicat _omes Your Building Permit Whe App oved Paid 7� ReC t No. r Date g,� 7: f B S uildin_ —'MI • to 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. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,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)447-4245 4646 Dakota Street Prior Lake,MN 55372 date projectt),ftel AJ 6c-ii 0. c(e.,..Ar. page - t., -.# tob- y, ,....k)A.Ltukt _ t.) % t4,,,, yv. -L.A. K 6,- ---- --)--. ... ,-- ) _ LA 1 k6s 44.----- 4 6-c-t ok_ ,______ - __________-__ , . _ _____. _ _AILVAIA)ii_44.__________WO i 44.0.-4,-14_K).(3 ----- __......... __r�P-- --- _ ______10._ ?�' �-- moo Lr ..__ 4- •� -�_ .._.._ _ - - - -_ -- - ____ _ IIII !.I. :. : _____ 1)_:r4.________ .. _ z ks • • i i s if ��i t i I —1------- 1—f s I I i I i I 1 f i a I i I r i f - - i (' s s�MJt i i s r ii f i i i i i 1111 ji , ' ., i i I • � i • I , r ._-__...______ sr. ,...1 .I teals _.__�._...,..__-,.____1_—_ / CCE i PTSD_- UFtuI1TTE ? S i i i SEPTED WITii CbRFREdTI•• • __— - ______--...._._I____tar pomirla— _ ` ooactanop aN app dabls ; All• . - —r-- i — - I t inNiudkei0 Naim nest ��I�i,�. i ! KEEP THIS PLAN SET ON SITE t AU Tato i I I I