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Short Term Rental Permit
' `n n � �� m � �,1,���� �� ��, ,��q r� � �� � il l @ I�V� ; �(�ti �� ��� ��� '��" �°�°�� Shart--Term Rental Housrn Fermi�`�� °; ���°��`� �� �� � �� �� �� �` � V M� �OR CHANGE OF USE TO VACATION RENTAL HOME '., d . .r... . . ""'�5°s''`� P(ease complete in ink - - Include fees with application Annual Fee on Fee Schedule as posted at www.CityofPriorLake.com E£�n#al Applica�ior�-Renewral i�-�0 H?ays �efiore Expira�ion Da�e " ' ; . CONTACT INFCIRMATI(ON P.roperty Owner Name I'har� Rixrnav�r, Owner Phoneq52—�D�-�'�0`���b I� 1,0.5 PropertyOwnerAddress �v� N• Q��Q� �C(}� �r• vpnQs gecondaryPhone�S2."�-(3 �'Z�'� , AuthorizedAgent Name ���,` ��("e� "� Agent Phone (p�j�-�-}�'l—l�g?J13 I Agent Address �3C��, ���, �-K `�e �?jU��SV 1��'e- 5econdary Phoneqs2—�}31'2�qq Confirm Owner/Ageni Resides 1Nithin 30 Miles of Rental Property Yes � No Q Rental Property Address ���}Ud (.��-}.-��rs S�-�'e.e-}.. N.E. . RENFAL�PROPERTY DESGRIPTION Parcel ID# 2,�jq�(��2.�j Nurnber of Bedro�ms � GiS Acres* ` . ��(p�'j2 Total Livable 5quare Feet �.3��5 Property rented more than 5-times per calendar month* Yes� No � Off-Street Parking Spaces *Effective January 1,2016 Property information can be faund at WWW.CO.SCOTT;IVIN.US BUILDING&PAf#CEL INORMATION ' REQUIREQ ATfAGHMENTS WITH APPLICATION. Confirm Sketch detailing Parking Spaces Xes� No � Survey of Property Yes� No� Confirm Owner/Agen has read and u�derstands Ordinance 315 Yes � No � I Confirm OwnerJAge has posted at the Renta(Property site,a capy of Emergency Contacts Yes� No� Confirm Owner/Ag�nt has posted at the Rental Property site a copy of rental rules®uletions � _, yes � No� —8t1r � 1 � Please submit to City of Prior Lake at 4646 Dakota 5treet 5E, Prior Lake,MN 55372 or email to Dstefanisko@cityofpriorlake,com f j �� �`, � j U�� r";,�� ,�"���r��� �rr,h� �, i � � V,� 1 , .r r� P " " 1 �^'," " I .''�PRI - .� ;',�s` tU°` �°r�., Short--Term Ren�a1 Housing Permit ' �'� F�R CHANGE OF USE TO VACATION RENTAL HOME `��"�!�'NEi�t*'A` Please complete in ink - - Include fees with application Annual Fee on Fee Schedute as posted at www.CityofPriorLake.com SKETCH OF PROPERTY SHOWING ALL STRUCTURES, DRIUEWAY, PARKING SPACES,SHORELINE, PROPERTY UNES. . ,:,; - .. ; , ,>SIGNATURE . � 1 hereby certify that I am the owner or euthorized agent of the owner of the described property, that the information provided herewith is correct and representative of the existing condi#ions on the property. I understand that falsifications of this application nr any attachments thereto will serue to make this application and any subsequent permit invalid. � Owner Signature /s/ Date . Agent Signature /s/ 4 Date �j` 2,q I V� ,. � OFFIGE USE ONLY Permit# ��,,,,,,���a �� Fee Paid ' �� Receipt# ��� Permit Expiration���n �� D� Property Postings Verified ���� � Approved by �I � � R em a rlcs � Please submit to City of Prior Lake at 4646 Qakota Street SE, Prior Lake,MN 55372 or email Dstefanisko@cityofpriorlake.com � ; � I�� � � ��� �� �� . � �.����� �� -� �., � � ;� � ��� � �� � �� � � � � � � �' �: - � :���_ ��� ���_ �� ;M � , �x, �,� � �,�� �� _ � ; �„ . � � , s , ,•,��' f.; � � . � �., � � = �� �� `A � $ �r ' y � � ' ' , � �s �� k�' � �� � � � e� ;� �`� >� 3i �� = e,V �� � ��� $:. � � � � ���� � � �=�., .��8'� .; �. �k�. 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I ^' �'•, �� �kjj � � �� !� _________� \ � �+�� 6y�� ` ` 1 2 <`> � i�it ��@ < 1� �`3� ������ aw � � \ - � � p�. s � � �� � � \ v� - �-��� a�' � ��g\'\ � ?? • =� i;:� �``f � '; �� ?) �� �1 � �_� r \ �� � ��,� a�\ �\��'� 1 � � � J � � J e�k ¢ ,� \` d� � � �.. - � B � �s� �> \ ��`, �,# �+'#j J � ^i-3--ry � , \ � ; /� ��� • 3 _�,,�\,��, _ �,�:,-�+-� \" " � /.�___-. �,. � �� ' � !��: B � ��� � _t �l �1 _� \ — __�_ -.-�'" i a �'a a' �t� 4 .--�`-,_" y � � � � � p ` -- ��\ 6? '0ti� � � i�•�,.srss•r u� �a� a. ���M1���y.+��(�5 ¢ u ^a � � f C� � R � y' _ �'�`_ �°a° .� Y��s �' ' i,1�� $y ' � ��� DRIVEWAI' R +.[3^ � �=�>��H�a,e i � �f*, 't i l�a ��$ �-- 8`-�$��.�y � � 3, aa �. ��row r�ucJ � O _ ,� _ _--_.�E-----�„�� c.� ie O " � �,� .�' 's ex § ie � � �� __� � u�» . �� � � $,im°`" l�� 4 �� �6•¢E IJ � ' � ¢F B � - '• I �3 g ° r . � g � e �� y�!�g� @ �� *`—��ef �6 4 � � ,. ' � ;� '�E @ �� ,�� � g3 i` �'�i= j 1 ' � �i�� �"�,<g��:� = ��� fl @ �� s �/�� �R� I !� � 6 � � ��`'� �g�� � ,g�§ y�'� �g �� ��a ' !. d p � � �Y ���ir' / '`r�� ht2h 6 ��I �¢ �@ � �` � �` �.Q.� /�/�� � � S�S� ' � {�� � �°Y'�' � _ �� �� � �� � :��` J �g �t A ' � 4� ��.�i8 ��' �'�� sa'` o` J . ' �� 3� ��` � �� �,o ' @ � o � 1 oR,a� ( ' 3 � 1? Px� / ' �" 1 r � y � 1 a 1 / � 1� � � ` � � � � � � , � �. � � � � , �� �� ;� �`.� ����-�ew City of Pr�or Lalce RECEIPT �� �� "''� ;i 4646 Dakota Street SE ��=. a�� Prior Lal<e MN 55372 ��} � / � ;� � 952-447-9840 � 1, , � � � � ��'r� �� �� r � �� ��� �� ��� � �� K� ��`EI4r�y'Tfi����x �� '�O°�,7� ���� p�� ���%����''�� 4=`_ ��r`V�� �� Receipt: 2014 Received Of: Date: 06/29/15 Echo Park Limited Customer: Echo Park Limited 181 River Ridge Circle S Burnsville MN 55337 - Receipt Iteiti � `. Receipt De'scriptton; ` GL(Vumher To�al .. .. :. ., .... . ,... ... . , . ..:., .. -.: . :_ ..,. : ; ., <..... ....... :. . .......:. . > �- ,.... ._.... .. ..... .. . .. . _ .._�... �.., :...:.: Short-term Rental Fee 15-STR-05/14400 Rutgers St Short-term Rental Fee 200.00 Receipt Tota) 200.00 TENDERED: Checks 27378 200.00 Tota1:200.00 � I � f ( Page 1 of 2 Property ID-259300720 Print Previous Page Select to View... v Roll Type: Real Payable Year: 2015 Property Address: 14400 RUTGERS ST NE PRIOR L�1KE,MN 55372 RI}�l�1ANN MARY E Tax Payer 1: 108 N ROYAL ASCOT DR LAS VEGAS,NV 89144 • Miscellancous • Le��l Description • Vatuatr`c�n • T�x e Buitdiri�Fe�st�Gre� • Last Sale , T�ing District Code: 2013 Taxing District: PL CITYIISD 719/PLSPL WNIO Township/City Code: PRIORLAI{E Township/City: CITY OF PRIOR LAKE ' School District Code: ISD0719 ' School District: ISD 0719 PRIOR LAI�E Section 30 Township 115 Range 021 P/O GOV LOT 3 COM AT NW COR OF GOV LOT 3;W ALONG N LINE OF Legal GOV LOT 2 255.92;S 8-38-36 E 1613.87'TO POB;S 78-36-24 W 1&3'TO Description: SHORE OF PRIOR LAKE;SLY,SELY,NELY,r1ND NLY ALONG SHORE TO INTERSECTION WITH LINE BEARING S 53-38-36 E FROM POB;N 53- 38-36 W TO POB. �"���,��°�ro���y G���s a�a��a�tt�r�x�y�rm�t ls�c����a���ec�csr�t➢v�1rat��e�t���a1�� ' rnu��°���^«�a�aae��w s�a���+s�,�'c°r,��;a��a�����z�����'�"�a;a C1l�R S��aa��g9 y�������'�rrr�����, ]ar�aa��c����k:e����1����d���������;k°�.s�a��y�°��;aac�tH��i�ad�c�t�a��a����� ���u�4a��8<���aR�l��r���r�������a�n���wru e��roicC���:c����^�r�af�Q�e����������,�. Land: $598,100.00 Improvement: $ 166,500.00 Green Acres: $0.00 Total: $764,600.00 Homestead Status: N Homestead Classification: 100 Res 1 unit Green Acres: N Ag Preserve: N Model Type: � RES Architectural Style: IZAMBLER " � Year Built: 1965 I http://www.co.scott.mn.us/PropertyGISLand/Propet-tyInfo/Pages/... 6/3 0/2015 � Page 2 of 2 Bedrooms: 5 Bathrooms: 4 Complex Property: 1 Above Grade Living Area(Sq Ft): 2,3$$ Basement Foundation(Sq Ft): 0 Basement Finished(Sq Ft): 0 Garage Size(Sq Ft): 800 Sale Date: 02/14/2013 Sale Price: $607,750 � f I http://www.co.scott.mn.us/PropertyGISLand/PropertyInfo/Pages/... 6/3 0/2015 � _ Property Card Parcel ID Number 259300720 _._. . ._ . _, . _ �_... � P .� Taxpayer Inforrnation � � a W .�. ��� ,,,.�R�, � Taxpayer Name � RIXMANN MARY E "'������ q; :�� i �����ui ���i� �u pi „ I � Mailing Address . � ��,�� ���I �`'�'��� � J li 108 N ROYAL ASCOT DR ' LAS VEGAS NV 89144 � � '��� yp�i� ', m;' �,��., ui���u�. << � � .�F'r'�perty Ad�iress� � � _ � ,. � � .,. . Address � 14400 RUTGERS ST NE City _ PRIOR LAKE MN 55372 . . . , . ... _ . . ,. � a . .; , �,.. F P�ar+�el lnfarmat�an r. . . ; _ . . . _. _ . . . ,�, „a�,�, ,,.,,, .. � �. d .o � - r i Uses `GIS Acres �:p1652 ; 100 Res 1 unit ,Tax Acres 0.56 ` Plat _ ` Lot i Block _ Section 30 Township 115 Range 021 P/O GOV LOT 3 COM AT NW COR OF GOV L.OT 3;; iTax Description W ALONG N LINE OF GOV LOT 2 255.92; S 8-38-36 E 1613.87'TO POB;S 78-36-24 W ' , 183 TO SHORE OF PRIOR LAKE;SLY, SELY, NELY, AND NLY ALONG SHORE TO WTERSECTION WITH LINE BEARING r.., ..�. . m �.. ._ .._. m ...._.._�... . �.... _ . .. . _ .,e.... ,. . , .m... .. . .... ... . _. . __. . .,..._ ._w . ._� .... ,.� � Building Information � Building Style. ,. _ �.. _ , .. � .. �„ .., r_ . .., ,.,,.. , r.. . � RAMBLER Bedrooms 5 � :Year Built 1965 __ _. Bathrooms 4.00 ; ' ' s Garage Sq ft 800 .m.. . �.. , m m.w. ..�,...�.. , .., .. � _ ,�,.. .. a ; an�ous Inforr�a�fi�on .� � M�scell � � � � � School District Taxing District Code Homestead Status Green Acres ' Ag Presarve !, 719 2013 N �. , . ., ._. � , . .. , ..,�. m . ..,, �_ .. .� . ,,...... .. _,,.... .. P . ... .._, b .. . ., _,. . � , . , ,,, ` �- �,s�+�s��r Informati,on E aa � , � . . _ .. ,� . . . . ., m.. . . . � . .. . ., , ��2014 Values�� Last Sale� Estimated Market Value (payable 2015)' ; Land $598,10Q.00 Date of Sale 20130214! ' Buiiding; _ , $171,70Q.00 _Sale Value Total' $769,800.00 _ Disclaimer: This information is to bz used for referance purposes only.Scott County does not guarantee accuracy of the matarial contained herzin and is not responsible for misuse or misinterpretation.The preceding disdaimer is provided pursuant to Minnesota �1, ''�'` Statutes 466.03,Subd.21(2000),and the user of this service acknowledges that the Comity shall not be liable for any damages,and /+��� expressly waives all claims,and agrees fo defend,indemnify,and hold harmless the Counry from any and aIl claims brought by User, �`� its employees or agents,or third parties which arise out of the user's acczss or use of data provided. 1 Tuesday,June 30,2015 Scott County, MN Page 1 of 1 J , � 14400 Rutgers St NE, Prior Lake, MN 55372 to 13901 Echo Pa... 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