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Building Permit 14. 0771
JQ LIJ Z 2 U)F- P I" u. � 0 � ZES0ia z w §555 = ozg its LPaaea ❑ c7 0 w W C1SW tA 1- ----.....4 t VFA.LLO re Z W 40 t 000000 U u) �-- W O �► O a O ,,� ki(/J Z » Z c F IQJiJ , J - O U wa �+C p �. C < 1= y p 0 = Z Ce 0 a 8 Z N gX1.1.1W2X n , IN ; V d 7Wa yj _jW V ' W W W x k. 000000 _ _ V Oa' Oa'UJ UI w UJ O = `C CL au- H O J Z IQ ` 0 OF Z V O W W 1,.. • a g S 5o Z o •• N di O So a .ill is C:Nw reZ 0r- 0� N Z 1 H ~ w W O. ( ft Z i- za -1 - a 1 re L o Q�� p V W W On O 0 O V a c IU Z LLuu.. U.? LL� 0 - o 0 a 5- z < 0 a ❑ ❑ ❑ ❑�❑ V w 0_ w , 2 i2a: P Iii E *Zoo < Z /44 255511 > o& www ( 2 qi OME0 Ce< W ■ M 000000 • § 2 . 0 w z §u. m § o am -1 § ¢ § ci ■ O Q -J 0 d § < \ ti w B / � � � � � � 2 k W CZ z Cl, U a § UI § § O § o CI2 I- 0 a § § ■ aa � § § § ) . 000000 § cz2 w , e Q ). o ■ _. - § 4 0 U % 5 � •� § 111 § k § & § M 2 e § ` co / 4 w Ez 4 2 R $ 2 u) © © .J w U.2 $ k � �2 �� A mecc � c, § �� X W z § oM© , t 2 k © 0 0 & 0 o u. I' U. ■ U. ■ o ■ Q u g az < 0 a 000000 U 0 0 / F YRIo CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ° TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v L,c. AND UTILITY CONNECTION PERMIT / f twrreso't° t.while File PERMIT NO. s 7dl Apr / /� �J (Please type or print and sign at bottom) 3 Yellow Applicant -/ 1 ADDRESS ZONING(office use) •33c'tC e0414 C( Dui i6,6 LEGAL DESCRIPTION(office use only) �Lj J /�l� /1 LOT� LOCK ADDITION - 564-c.)IX Vi c<.J i" f4 cbW� c;76- ?4 /'�' 1-0 OWNE(Name) Ci \r i S 1C I\ d Q(\bou 1 J-w.v (Phone) 10 I—L.-1L-12-- 447n7 (Address) A. lir.. 1 Z.^ 7 D — l O G► � 4 � Z. BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ORe-Siding 0L Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE []I R.C. C]I.B.C. isc. Ft''x� t.&I-CS s 4.4)//06G,..) •,. Type of Construction: I II III IV V AB PROJECT COST $ Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (minding land) I hereby certify that I have famished information on this which is to the best of my knowledge true and correct. I also certify that I am the owner it authorized agent for the abovc•mcnaoned and that .. it to all existing state and local laws and will proceed in accordance with submitted plans. I a�rg1 aware that the building official can T permit for sc F,, . agree that the city official ora designee may enter upon the property to perform needed'n.+p eq(/,/ Signs. Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee `" SAC # S Plan Check Fee 1 14.'' 1 ✓ Water Meter Size 5/8";r'; $ State Surcharge $ r_-` ) Pressure Reducer S Penalty $ 1 Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee t Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ ler( s Thu Application /']Becomes Your Building Permit When Approved Dat05 C e 7� Receipt No. 7 ///��� ' y Building5--- Offs:ial Date This is to certify that the request in the above application and accompanying documents sin 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(963)447-9850,fax(952)4474245 4646 Dakota Street Prior Lake.MN 55372