HomeMy WebLinkAboutPermit 1362B12
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.' ~i::~..~*,-. APPLICATION FO. R BUILDING PERMIT ..l__"0.h.d.::.~.::...I.~.
~ T~SHIt7'~ --'. . SC9,TT COUNTY, MINNESOTA PERMIT NUMBER. c-
Owner, Name, ...?t;/.A?~.. :...!U.JL. . J..~~'4i;:.. .:. ~~m.. ..mm..~.. .~..n..}ii:;m... Phane, .1..'1z..:.j..~~....'::-?-l.
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Address. .... . --f-m ..m.. . mIi..m... .m m... ,... ....~ ... 7 .
Appl.icant: tlf other than owner) Name: __....m...........m.....mm..m.m.......mm....m.m....m.............mm..m...m.....m""'m....m..mm.
The above ~:;:~~~~~~;;::..~~;.:..;:;~;~..~.:~:i;:;;11L:..l~.~..~.;;;;;:.~...........:.....:.:::....~.~.~::.:::.~:.~:::::::~::::::::::::::
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PERMITS APPLIED FOR: (Check those applicable) BUILDING (Estimated Cost) m.m1.~.......!:..m.mm..m..m..mm...__...m....n....
/ I .. "]WELL: ....kl-m~~..._..............~::::::=::=:~::.~~:~.::..:::=::::::=::::::=::=::::::::::::::::::::::
KIND OF CONSTRUCTION: .....W..~....JA..A~.................__.__.......m.._..m.m._m......_.m.._......._m.m..............._......
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Legal ~scription af Property: ......-..N...I&!...Hf-.m...........~_..-......-.m.m...m.m............-..... ...-..-.-.~.:.......t:;.....-:,..(Z.;.--..::,
Township, .mm_/-L':/m_.._m Section, mlL.. Range, ..).,..m. ar Lot, ..-,-If... Block: ..._.._n. SubdIVISIon: Vt~m{'L~-.
Zoning District: Agricultural: mmmm....m_... Residential: ..._._......m.m Cammercial: ...................... Industrial, ..._m.........._...
A Plot Plan showing the following must accompany this application:
1. Narth Directian 5. Street name or road number
2. Location af Proposed structure on lot 6. Locations of existing structures
3. Dimensions of front and side set.bock 7. Location and size of Septic Tank and Drainfield
4. Dimension of structure (s) 8. Location of well.Distance from Septic Tank and Dralnfield
Applicant hereby agrees that, in case above permit is granted, that 011 work shall be done and all materials which shall
be used shall camply with the Plan~a specificat21'on ere with submi and with the Ordinances of Said Township
and Caunty applicable thereto.. ' b .. 17- tJ
. . ~....___ . n_m.. nmnm___....___.. ..... _.""..m_... . _____m...m___n..
.., Applicant' DaM
TOWNSHIP USE ONLY
Recommend Approval: .n_.......n..!:::::.:.______.n...... Recommend Disapproval: ...____..._.._..........___........ Approval recommended
subject to the following conditions: .......n_______m_..........mm..__......_____....m.__n___....m.._...___.....___.mn_....m..... ..............___
Reasons for disapproval. .......-.........---............:...-......t....t.;.;........:.7r.9?;f':r.-.......---;r7--..-......-.....---................~.11:..l..(j
SIGNATURE OF TOWN CLERK: (Or representatIve) ...Wl.Ri2tuJ.(.(;~.m...__...._m DATE: .~..............m...
COUNTY USE ONLY
Approved: .mnn..f.L._. Denied: n........._.._... By Zoning Administratar SUbject~eXistin regulations and the following
IlOnditions: ............ c;- -- ~:i.G.____... .............m_.......__...... ._m.___........____. ......m______m.._.........._..m___m...........
..___n_.......m:mm....___..........m..m.............m..............__m~..m~. ~.~~ _____ .....mn-.....:..\9.=..-..m:::m.....m
SIGNATURE. .m.m.........mmnnnn...............m.....mQ.I~.._.... . .....-.....LZI....t . ___m.m......_... DATE. .......nJ~..J.Om..
COUNTY SE ONL'"
Approved,
v
Denied, ..................m. By Building Official subject to existing regulations and the following
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{l.-I'3 -S / FEES,
110 M~lr"C~ UJt:J:..
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Zoning Permit
Sewer Installation Permit
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Plumbing Permit
Well Permit
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IA~k
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State Surcharge
Building Permit
Plan Check
TOTAL FEE
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Form No. 1
Revised 3.2.79
1. County Copy (White) 2. Township Copy (Canary) 3. Applicant', Copy (Pink)
No 1M Miller.PATia Co.. Mh:wea-poUa
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$_ 311.50
&tate of :ffltnne~ota,
County of Soott
19th '~f
no....:3~~~-U
June ,1910
Offict oj.
__.___lBuildina . ~crmit
IN CONSIDERATION OF The .tatdbents made by ~el'Ud Conatl'Uotion
151.. Fiah Point ROad, Prior Lake, NR
.n .application therefor duly filed in this office, which application is hereby made a part hereof,
PERMISSION IS HEREBY GRANTED To said Del!feru4 Conatl'Uotion 's owner
.. M build a dnale t.Uy hOlle aa per plana aubllitted
Buildina Oftioial
1-
upon that tract of land described as follows: Lor 18
Addresr Seotion 11
, which tract is of the size and area specified in said application. .
I 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..........m...............m...............
oountJr ____of !laoti- .
, Given under the hand of w 8uildill\l Offioial .~f sai,l oount.y ",d its cor~rate .
seal and attested by it< Plannina Direotor -hi- 11th .1*~.. June / U 10 ~.
Atteet: ~ I'M {/ _; ~ (J,/ ~/ ~k
, ./' Plannirur Dire*r 1/ 8uildinll officiaU
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; plat or additif'" Manle Aorea
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