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HomeMy WebLinkAboutBuildiing Permit 15. 0677 100 n 000000 Ti 0 > § O a 00 * 0 ■ -nk- -n 'n-n 0 & § SO4 0 a A 2 73 2 k�c� c0 m m mo % r � � � r2222 03 q� glt ' Q .1 > Z m �Q� Q R ■_ 7 Zi .�_, 0 k � \ z 2 . z 2 WI S } n m o S , n z -1 z 0 x % 0 0 > 0 m m X r 0- Il X -n '0 13 k z 73 73 xi 0 0 �� 000000 1 , o \ 2DD � � �§ r � \ c ? mFar XL §mxs. m 0 _Al ■ z' E m 9, - >000 � 0 § 0 m .0 2 00 0 r -n § o @ 4 P o cc k z ' m x 13 13 p m ■ 0 0 m 0 c 0 � ., ® m OOOQOO § 2J 11110 § � , 0 ® §mm2Q < � � E � 11VM % z �.. � � � � 0 q rn 0 » 22 ■ m m ■ _ r x, cn z ■ -1r o or. CITY OF PRIOR LAKE BUILDINGPERMIT, C/TEMPOTIFITE FZGCMPLIANCEDate Rec'd AND UTILITY CONNECTION PERMIT 1- White File Please 2. nim tit PERMIT N � • ADDRESS and si, at bottom 3 Yellow Applicant O• O� -cc \` ZONING(office use) LEGAL DESCRIPTION(office use only) LOT 1 BLOCK ADDITION 11# 1 4.4 ji =•�� 5 PID S 66'S—.00OWNER (Name) ! ► S" a.V\ 0 - 2 (Phone) � 5 — 7 (Address) BUILDER (Company Name) >i (Contact Name) '64 CA. V — (oS l _- (p I_LiU$g (Phone) (Address) 1C a U C(). `•G (Phone) W• 1ZQ S e C VYtry 5 5 l l TYPE OF WORK 0 New Construction Deck ❑Porch °Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Utility Connection ., 1 lace is (A.A. j Ow SFirepl, act Iry CODE: DI.R.C. DI.B.C. 1(\C� l.c-�/ Type of Construction: 0 Misc. •1Z�C t ��� Occupancy I lI � �' V A B P cY Group; A B E F H I M R SU PROJECT COST/VALUE $ 1 (p l� O O' Division: 1 2 3 4 $ (excluding land) I hereby •fy that I have famished information on this application which is to the best of above- •n oned property a • at all corutniction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware official ca t revoke this. my knowledge aur and correct. I also certify that I am the owner or authonzcd agent for the • ust cause. Furthermore.I hereby agree that the city official ora designee may enter upon the property X �`�-'�, P Perry to Perform needed inspections. that the building Signature �-4- ao 130 8 3 Contractor's License No. Permit Valuation Dace rignallinallianalMNINM Park Support Fee # giggagningri .11 -II -11.1 - Pressure Reducer 1.1.11111111111.11111 Plumbing Permit Fee — Sewer/Water Connection Fee # _ Water Tower Fee # 1.111111111111. Sewer&Water Permit Fee ©_— Builder's Deposit 111111 Gas Fireplace Permit Fee Other ©■r TOTAL DUE IL - This Application Becomes Your Building ���� Permit When Approved !:i 4. niriamin Date Recei.t No. ��1rj�Zia Building Utlicial • V B Date - 410This is-to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mayproceed, when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constriction to commence. Before occupancy.a Certificate of Occupancy must be issued. i requested. This document Planning Director _ Date --- .___. .._ ____ Special Conditions.ifany