HomeMy WebLinkAboutPermit 1267B12
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f, 'J~~ APPLICATION FOR BUILDING PERMIT \ ~~ i-A- J (}-
~O~HIP~ n .~Of.l\COUN.T'f' ~INNESOTA PERMIT NUMBER .
Owner: Name:~l1-f'd E. J)-l---u~LL ehone: tPf1-:<t.tt?-
Address: /7/ (I y,;;A'tAJA.>t4It1Aw(~~f:'-j Jr(,,!/Y"''''.L~ 5~Jl~
Applicant: (If other than owner) Name' () - "q----? - CL \lLh,"'L~4Ul-;::)\~ \
TI"'bo':::::::;"PP';"f';:;;~;;~n= q ~~a In ;~~~
~ l..4lLA.Ll~~~/"'A _ x"7~IJ~
(BUlld..il'er,repIIlr.w"ck...C~b.1 - 0._ ~
PERMITS APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost) J/!) rp ~ /
._-~~./ C.~--
KIND OF CONSTRUCTION:
LJ~~
.
Numberof Bedrooms: General Contractor: Q5a~ (~LU'-Z;;;~
Legal Description of Properly' .N fAJ 1'4 _
Township: ~ Section: -4.-- Range: Par Lot: .l:!:>._ Block:
Zoning District: Agricultural: Residential:_-I2- ~Commercial:
A Plot Plan showing the following must accompany this application:
1. North Direction 5. Street name or road number
2. Location of Proposea Structure on lot 6. Locations of existing structures
3. Dimensions of front and side set-back 7. Location and size of Septic Tank and Drainfield
4. Dimension of structure(s) 8. Location of Well - Distance from Septic Tank and Drainfield
Applicant hereby agrees that, in case above permit is granted, that all work shall be done and all materials which
shall be used shall comply with the plans and specifications here' bm'tted and with the Ordinances of Said
Township and County applicable thereto~..i!:-J-. '... k~L--' 9-~ 7-! ,3
Applicant's Signature Dale
SUbdivision:m~ Ucu"",
Industrial:
Recommend Approval:
subject to the following conditions'
Reasons for disapproval' . ( - ~
SIGNATURE OF TOWN CLERK: (Or representatiVe)_t{)J..'RP.({llj)_~A.I)r:I-
I~
TOWNSHIP USE ONL"
Recommend Disapproval: __._
_ Approval recommended
DATE:7-~ 7-K-3
, COUNTY USE ONLY
Approved: ( /_ Denied: _.._.._" By Zoning Administrator subject to existing regulaJions and the following
conditions: 45 N IJ-r~f) OAJ GL"r"A-,1.. !,;/-I-rs. /P~ 7~ f!?_. . . .::.!L..
I'i~ ~jJ~--- U ':7- ~ ~~.L.......(~ L-.. /
~ ' -, ~f (
SIGNATURE: ~ -"_/ ~."e,.,.-'$r_ DATE:.?-:?{) - 9.3
- \ r '" ......"
Approved: / "\" Denied:
conditions: ~J
Signature: . ~ ~-'~
COUNTY USE ONLY
By Building Official subject to existing regulations and the following
/.I..,'h A.LA.____
9-L9-P.<
. -
FEES:
Land Use Permit
Sewer Installation Permit
Receipt # h,Qh.\
Plumbing Permit
Well Permit
Building Permit
.~.gj
Uk> .~
~I-;J ~
State Surcharge
Plan Check
Fireplace/Wood Bumlng
Appliance
TOTAL FEE
qi. 'd.:)
1. County Copy (White) 2. Township Copy (Canary) 3. Applicant's Copy(Pink)
Form No.1
Revised 7-82
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Buildina
Offi<;..e of Ib.nllfl\g ()f'i'1c1a'
Permit
County of ~"u
IN CONSIDERATION OF The statements made by~rt Deutsch
17181 Panama Av. Prior Lake. MN
in application therefor duly filed in this office, which application is hereby made a part hereof,
PERMISSION IS HEREBY GRANTED To said Robert Deutsch 'IS owner
tl' build an attached aaraae
upon that tract of land described as follows: Lot 15 Block
Address .
which tract is of the size and area specified in said application.
. plat or addition
MlDl. Acres
This permit is granted upon the express conditions that said owner and h_ contractors, agents, workers .
and employees, shall comply in all respects with the ordinances of the
County ,~f Scott
I Given under the hand ofthp Buifdinfl Official
seal and attested~y it Plannina DirllC.t. or. thip
.1 . -"'-1 L
Attest: . C41- {/i./J~..t'l",,4'L"'.
I Plannino Director Building Offici.l
~iiif"Wt~"""tTt~"l!! ~!1~~~~~~" " .
of said Countv
,lay of
and its corporate .
19_