HomeMy WebLinkAboutDemolition Permit 14. 0018 of rxlo, CITY OF PRIOR LAKE Date Rec'd
AN , DEMOLITION PERMIT /.
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PERMIT NO. /49, cv/ 0
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only) .
VAA":O �- 2— AOC L.-G �'�l y1 v'"‘"5 O CX `
LOT BLOCK ADDITION PID
OWNER
(Name) r1Yw1 A-6 1z YYl1� \ � �j (Phone)
(Address) GiO QacItkOrf-
CONTRACTOR __ ! `
(Company Name) \knf( k Q 3rY 1\J \ h( (Phone)
(Contact Name) byl 5
C k 'A- Jrs (Phone) ( i-410--1 •c2_.—
(Address) ( VD(;) cc l d CY�� ��\()r GG
Use of Building: INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV 4 A IP
S I(4 t om(--`G" 1 "�t'4 t Occupancy Group: A 13 E F H I M g) S U
Division: 1 2 3 4 5
MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
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 sub ed plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
I hereby agre at the city o al or a gree may enter upon the property to perform needed in pections.
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• Signature Date
This •pplication Becomes Your a olition
/ e mit When Approve «.. . s
11:5, 067). Uz) 9e20 vcL?2o�
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VP !lbw— ( Z/ /4- / /4-- 64, * Z z 7/
Building Official Date
This is to certify that the request in the a..ve applic. '. and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
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Planning Di tor Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
16200 Eagle Creek Avenue,Prior Lake,Minnesota 55372