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CD 0 O • 5 4,1 F o ,-- m 4t P' `C fD �d a, 4r 0 (1> r4c • o ft im. el 174 1 EL OCD (A)0 O r� cn v1 cr C o 0 o T0� 9 t-C N O MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring H 3 6 814 WELL OR BORING LOCATION WELL AND BORING SEALING RECORD Sealing No. County Name Minnesota Unique Well No. ],/ ,r} p / if 2. ..at e,,_ Minnesota Statutes, Chapter 1031 or W-eave series No. ��11 f� CJ (� k if not known) T nsh p.dame Township No. Range No. Section No. Fratlion�sm Ig.) Date Sealed Date Well or Boring Constructed�,E I / / Lx .VY 71 J t,� t,�. , .2. !, / 8 3 f� GPS V Latitude 7 degrees�I!I 9-minutes 'econds Depth Before Sealing ` ft. Original Depth I ✓ 3 ft. LOCATION: Lie Longitude 9 3 degrees t e minutes51. seconds AQUIFER(S) STATIC WATER LEVEL Single Aquifer ❑Multiaquifer J Numerical Street Address or Fire Number and City of Well or Boring Location q /�,. - ,�.0 - r ) 'I t J s y� WELL/BORING ®Measured ❑Estimated Date Measured u Water-Supply Well ❑Monit.Well 6 Show exact location of well or boring Sketch map of well or boring Env.Bore Hole Other ft. �]below above land surface 4section n wit '> h N location,showing property ❑ ❑ ❑ ih.t1 , .5 _ /� lines,roads,and buildings. CASING TYPE(S) fI MH 0 LISEli p Steel ❑Plastic ❑Tile ❑Other --_ - -- / / WELLHEAD COMPLETION w E d ('t. €: �_.L%4.. -_ _ r__ TI -(----->,_ X h'j,.{✓ .r` Outside: ❑Well House ❑At Grade Inside: LI Basement Offset Mile " Buried ❑Well Pit fes, f� Pitless Adapter/Unit ❑ --- _ I ._r e,- _ ❑Buried S 1 , t ❑Well Pit _J ❑Other f / I 1 Mile . '+-{"2 E^.,.L.I-T,,,e,, j',j-^/t.7 L ❑Other PROPERTY OWNER'S NAME/CO PANY NAME r,„ CASING(S) 1pl .4(a-1(14.q.., J I?..e...k. -1 -b l'�')Lz-t. Diameter Depth Set in oversize hole? Annular space initially grouted? .. P erty owner's mailing address if di*fent than well location ress indicated above 0 7 in.from to ' ft. ❑Yes 4.No LI Yes ❑No ❑Unknown in.from to ft. ❑Yes ❑No ❑Yes ❑No ❑Unknown in.from to ft. ❑Yes ❑No ❑Yes ❑No ❑Unknown WELL OWNER'S NAME/C PAN4 NAME ,t- SCREEN/OPEN HOLE </ Jul-G'1- J %_'..'`.E..-, 1 17 R Well owne' mailin address if different than property owner's address indicated above Screen from I f to C! ft. Open Hole from to ft. it 6 it C.l (,i„k_ f•: „ - -5, f. . OBSTRUCTIONS f '.;Rods/Drop Pipe ❑Check Valve(s) ❑Debris ❑Fill ❑No Obstruction /jrv-i / Type of Obstructions(Describe) /6 1- 7 --e4 � ft d / ff 1 / 't1,..11 ( 4 n" cf,/f� HARDNESS ORC y�'-`u�•,, GEOLOGICAL MATERIAL COLOR FORMATION FROM TO Obstructions removed? ®Yes ❑No Describe al t,e tr PUMP If not known,indicate estimated formation log from nearby well or boring. / , Type � L4 ' - Cl-e fif 0 )- 6 ®Removed ❑Not Present ❑Other .�T4 tr- G 4 ./- 6 3,2 METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: ct.,.. 4 [i No Annular Space Exists ❑Annular Space Grouted with Tremie Pipe ❑Casing Perforation/Removal ��77 ?`' U t/ in.from to ft. ❑Perforated ❑Removed S'�^'"+ ly, .t....-t' -!a 7 O 6 7 in.from to ft. ❑Perforated ❑Removed C.-6,--' 6 7 I'/S Type of Perforator -6e---It..6/ iyS 16/ C „c f rf/ /f G 7❑Other �4?'{4(.._ / 7 +_GROUTING MATERIAL(S) (One bag of cement=94 lbs.,one bag of bentonite=50 lbs.) JL 16 Grouting Material'7 from ,,3 to /83 ft. yards 1 it bags from to ft. yards bags from to ft. yards bags OTHER WELLS AND BORINGS REMARKS,SOURCE OF DATA,DIFFICULTIES7� IN SEALING f Other unsealed and unused well or boring on property? ❑Yes fi No How many? - C-f-t y.t,. ,,(_.;,,_•..-t4:--k-C--"f =-C--r t... te.,,,, 't- LICENSED OR REGISTERED CONTRACTOR CERTIFICATION /',,,/' This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The information contained in this report 1 .. Q.,6-1.-.,„,,,, 4- ..•,,,4,,,, .,.-C._,/, is true to the best of my knowledge. 11 n n,,. w.. -. eu' 4nr'7--4-, , L . L. Lf 2 a 6P./ ). Licensee Business Name , / /� License or Registration No. 3 0 9 !. . )01,i.-(th,. " / 1 ,,„ jV ft,. .r,.E...,,,f,,pt.,pt., ..�Q Q ',/I ,,[_ , Certifsentative Signature Certified Rep.No. Date LOCAL COPY H 316814 ° '..€4/L!'t- /14:4"1•44 4i:q-afyzName of Person Sealing Well or Boring HE-01434-13 IC#140-0423 5112R \17*tuy' WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH a Well and Boring H 3 16 8 14 WELL AND BORING SEALING RECORD Sealing No. County Name Minnesota Unique Well No. 1.'t 1 Minnesota Statutes,Chapter 1031 or W-series No. 7 iLaa��a Wank it not known) T rmship'Name Township No. Range No. Section No. FrvtioSsm.�+Ig.) Date Sealed Date Well or Boring Constructed V GPS (V Latitude_M_Y degrees'I /-.minutes/'9-'e conds Depth Before Sealing I 8,3 ft. Original Depth__/_t_7 3 ft. LOCATION: w Longitude 9 3 degrees Xe9 minutesT e_$seconds AQUtFER(S) STATIC WATER LEVEL Numerical Street Address or Fire Number and City of Well or Boring Location &Single Aquifer LI Multiaquifer 2 h t r- J 19! / D/ _ �1 /,f/J,JJ p y _L. WELUBORING Measured Li Estimated Date Measured ^i C C A�Jti•C'—"le-(-4-4.Q,i /J.•f'"(1 /'tCj' ( Water-Supply Well ❑Monit.Well Show exact location of well or boring Sketch map of well or boring nS i'n�,s�eIc-tion rl i�} /� NC location,showing property Li Env.Bore Hole ❑Other__ i ^- & ft. CE below E above land surface "'4I . .J /" r lines,roads,and buildings. CASING TYPE(S) � __ I ( Hoc - ]Steel El Plastic ❑Tile ❑Other f___ t-- r _I� WELLHEAD COMPLETION W E T rGc.CK�L ;_-- �__-_____, I . ,(�ej/ Outside: ❑Well House ❑At Grade Inside: ❑Basement Offset r. 5 'j'Mile 3 i° x.,�3�,�4,�„� lir Pittess Adapter/Unit r]Buried ❑Well Pit • -- 5 • 1 ' I `�•G- Li Well Pit ❑Buried (---1 Mile---1 ❑Other ❑Other PROPER Y OWNERS APANYpNAME a CASING(S) 1,4t,),-• AME/CO ., D.n+�C17� s,,9'Yt-ti�1141t, Diameter Depth Set in oversize hole? Annular space initially grouted? perty owner's mailing address i di( rent than well locati�( ress indicated above6tle0 t in.from to I 1.7 ft. Yes gip No ❑Yes ❑No ❑Unknown in.from to ____ ft. ❑Yes ❑No ❑Yes ❑No ❑Unknown in.from_ __ to ft. ❑Yes ❑No LI Yes ❑No ❑Unknown WELL R'S NAME/CQtytPAN NAME i SCflEEWOPEN HOLE f�' p Well own 6mailin address If different as perty owwneerr'ss•'address�indicated above Screen from / to r,J ft. Open Hole from to ft. J it9 or/ G a, .�� 3, /, OBSTRUCTIONS 1?- "-/ s S 3 70 Rods/Drop Pipe EI Check Valve(s)` v "0 Debris ,� ❑Fillll ❑No Obstruction 4 44 to e� T,1,,_ . ` D _ _ Type of Obstructions(Describe) I f: 'T.P 9.,..:°-eV L h_y)e p14-.4173,vy►7,1• -' t.-(.-'L . GEOLOGICAL MATERIAL COLOR HARDNESS OR FROM TO Obstructions removed? re q)�� � /]� 1 FORMATION Yes ❑No Describe wrK� I If not kknno�w{n,,indicateinestimated formation log from nearby well or boring. PUMP / Type O y� 6 i Removed ❑Not Present S{/0 Other ..e 3j METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: ��,``�'`'/'��1��j� j•C h 4 a 0 No Annular Space Exists ❑Annular Space Grouted with Tremie Pipe [0 Casing Perforation/Removal G� 1p // in.from to ft. ❑Perforated ❑Removed Cf! 6 in.from to ft ❑Perforated ❑Removed ( r ys /6/ Type of Perforator C /,‘ ‘/ 167 ❑other "la/k v� rd 7 /83 D3 GROUTING MATERIAL(S) (One bag of cement=94 lbs.,one bagagof bentonite=50 lbs.) `_^ Grouting Material/ 4'Yte.t— from 3 to I/J 3 ft. yards J if bags from to ft. yards bags from to ft. yards bags OTHER WELLS AND BORINGS REMARKS,SOURCE OF DATA,DIFFICULTIES IN SEALING Other unsealed and unused well or borin on property? e' f 9 p P y. ❑Yes 01 No How many? - - i(.,� l ie. 7 LICENSED OR REGISTERED CONTRACTOR CERTIFICATION - 9 f This well or boring was sealed in accordance with Minnesota Rules,Chapter 4725.The information contained in this report ' `a-C _.d� - ! ' 4t , '(, is true to the best of my knowledge. Licensee Business Name / License or Registration No. 3 0 h' C- . '114;,- cc,--i, - J7t.4,we-I 711.7 S6017/ Certili Representative Signature /S /'iGti % 9-11 6/V Certified Rep.No. Date • COP Y H 1 , "' 1 2ce. .'-C t.4, ii.�y,�vv °° --- °. .r )- Name of Person Sealing Well or Boring J423 -- • 5/12R ' j HARTMANN WELL COMPANY ll WATER WELL CONTRACTORS 308 East Main NEW PRAGUE,MINNESOTA 56071 Well Drilling ROGER L.HARTMANN Pump 8 Well Service DONALD S.HARTMANN 1 if V (2 00 ='- = = ...Yt..... :s 3 ' 0 - y Wee ri i e n t grouted art old d w is I I at 1 1 � ,_�r�lu��l e State Permit �i�,��_/-cfzc%. , .�� 0 Q 00 Our . Fee --- -- _ ..s of cement gip; Extra Labor • S J 3 7 0 6 Total Balance Due <� u. . : :• o Thank you. to trir Roger L. Hartmann f n State Li':enizee Number / ''. 2 9s� L/ 17— cls -3 117* t-§ 141' u w w P Licerued Member Minnesota Water 1�/e((Associati�n ��ELL g1 .Since 1932" irk ?s1 +: MIAL, 1 i PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � TEMPORARY CERTIFICATE OF ZONING COMPLIANCElQ. I IT /� AND UTILITY CONNECTION PERMIT • ___ ,.white File I PERMIT NO . /3 "p,3- Qi- M�hNES��P ®02. Pink City 1966 Shoreline Blvd 3 Yellow Applicant (Please i e or hint i 25-491-001-0 ZONING(office use) ADDRESS John &Sandra Breeggemann ` A LEGAL DESCRIPTI (office use only) PID 075-- 4w- xi- O LOT BLOCK ADDITION OWNER (Phone) (Name) (Address) BUILDER (Phone) (Company Name) (Phone) (Contact Name) (Address) TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition DAlteration Utility Connection 0 Misc. CODE: DI.R.C. DI.B.C. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 Ie and ct. I also hat I the er author zed agent for the above-mentioned ove- en o that I party and that all construion on this application which is to the best of ction will conform to all existing state and local laws a d willy knowledge tproce d ine accordance certify wi with submitted plans. I am aware tthat the building bove-men property official ca revoke this permit f r just cause. Furthermore.I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. of - SignaContractor's License No. Date Park Support Fee # $ Permit Valuation — # $ �1435: /3�Q 0 $ SAC 4 Permit Fee $ //QD. D� Plan Check Fee $ Water Meter Size(/8", I"; `7/) State Surcharge $ --- Pressure Reducer $ //a00 $ - Sewer/Water Connection Fee # $ /500' DD Penalty # $ $ �_r 5� Water Tower Fee /OoQ' D a Plumbing Permit Fee Mechanical Permit Fee $ —' Builder's Deposit $$ S6. 5 Other $ A Sewer&Water Permit Fee $ d Co �,((v, Gas Fireplace Permit Fee $ -' TOTAL DUE gv I V PaiThis plic. ' n Becomes Your Building Permit en Ap• oved I Date Receipt No. 170/D. 11 . I g-ker` B AT 1 I .,I - IQ l 3 KY xfN �P,:' t �� e_ � �'/ /I 7� Buil Wig,Utticia This is to certify that the request in the above application and accompanying documents is in 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(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372' CITY • . DIElb -0 Q \ Z n O O O \\ z:7 /� o - n (.1\. °6'1 koff om > r, z � �7 m • CD • \ o . \ 5- 0 �J 0 • At a , fO IvnrssC d' No letter sent Breeggeemann's already hooked up. City agreement in place..No charges for Breeggemann's. All Hooked up as of 11/5/2013 John &Sandra Breeggemann 1966 Shoreline Boulevard Shakopee, Minnesota 55379 Re: CSAH 12 UTILITY IMPROVEMENTS (PID25-491-001-0) SUBSTANTIAL COMPLETION The CSAH 12 Utility Improvements are now substantially complete. A number of cleanup items will be completed in the upcoming months and the final layer of asphalt will be completed next summer. The utilities have all been tested and approved. You may now hook up your home to the new sewer and water service stubs. In order to make the connection from the utility stubs to the home, a building permit must be obtained from the Building Department. A"Master Plumber", licensed in the state of Minnesota must sign the plumbing permit. Also, a "Master Plumber"or a sewer and water contractor licensed in the State of Minnesota for pipe laying must sign the sewer and water permit. Building permit and connection fees of$5,786 are due at the time of the building permit issuance. The connection fees are calculated as follows: 1" Meter Plumbing Permit $54.50 Sewer and Water Permit$56.50 Sewer Access Charge $2,435 (Fee to increase to $2485 in 2014) Water Meter(1") $740 Sewer/Water Connection $1,500 Water Tower Fee $1,000 $5,786 5/8" Meter Plumbing Permit $54.50 Sewer and Water Permit$56.50 Sewer Access Charge $2,435 (Fee to increase to $2485 in 2014) Water Meter(1") $590 Sewer/Water Connection $1,500 Water Tower Fee $1,000 $5,636 The building permit will stipulate requirements for the connection as well as abandonment requirements for the existing septic system. Your existing well can be maintained for outside non-domestic use or can be abandoned and sealed. It should be noted that the sanitary sewer service is required to be located at least 1 20 feet away from any well or the well will need to be abandoned. The building permit will give further details regarding these items. Sections 704.300 and 705.400 of the Prior Lake City Code requires connection to City water and sewer within one year of availability. Section 4715.0310 of the State of Minnesota Plumbing Code also requires connection to municipal sewer and water systems once they are available. This letter serves as the beginning date for the one year time period. Attached for your convenience are copies of the building, plumbing, and sewer and water permits. If you have any questions or concerns regarding the building permit process, please contact the Building Department at 952-447-9850. Sincerely, Larry Poppler City Engineer/ Inspections Director CITY OF PRIOR LAKE CC: Bob Hutchins, Building Official pcn cn � cn „ 17 17 A [� � WN rtvm � o- > nr -icnf r 44 a n _7 C O (D + �, c (D o (D n O O (p 3 C n O 3 0 CD `" Cr r r7* 3• O ° rn Q Q °' X- 0 3 < " cfl M '7 3 0. cD. 0 rT I 7 = m r CD — _. 7 " 71 v o 3 m S rt •-• 0) Lr. v :'� n 7- 7:/. ao' a d -v V^ ao N —I o sk '-+ 7 (D , - o m o �' m o o• D ; g Qo (D D �-A°• O v fD W - . -0 CD M 5. v) v 7 n ' .< N 7 0 N Dii O j� to = .. p (D -• J 7 77 r« ..G o O- r+ 7 A w iv CD n ( p1 "—' Lr) to W 0_ O C CD CD v, CD W O ,-+ aQ v o = N Di r+ - N 0 CD 0 UJ o CD o rn . sr N o oDJ ..<-• nnvi3 -0 wao s r+ - .I -,. 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UU7 9 0 3 LA m 3 v m Q o `" + Di 0 7 o 0- 3 as n (IT Q = N c m •� n -, m '+ c(1) Q O 7 CD O_ Ra = O- - to ,-•d a a0' 0.- n (D (D 7 (D rt Q- * Q to 0 - 0q 0 (= _ D r+ N D Q CD 0• rV RIO Date Rec'd MINNESO�P CITY OF PRIOR LAKE l0- /1/7- rf 1/- H£ SEWER AND WATER PERMIT 12.. GrYelloeenw FCiilety PERMIT NO. /3 .//s-7 3- Gold Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) qLela � Y ceoe.,1v‘-e---.v. � J d X/s_li LEGAL DESCRIPTION(office use only) ( y�/� LOT BLOCK ADDITION PID o7J�' / ij t /moo OWNER Q� f�� �7 oZ (Name) 1 b4 e-R-- e.V'VICYY`Y"L (Phone) (Address) 1°1 U Q U. �J�0 Y C'. Ic;�V"..9.-- `61�!d. �Y t'34 L e.1 Q (Address) (City) (Zip Code) APPLICANTS sa - t u- ��4 O (Name) 1-i 1 1 r e_l. '.l,cAtb V Or,. e% (Phone) (Address) l 1 I LiC 1"c .o'`�' \- %e,v c k2.. YY\ S-5 Y)(Address) (City) (Zip Code)2 /0 / ^y T . e CoI D- -T(�- -331.. (Contact Person) �3 � �k`' (Phone) APPLICANT SIGNA URE f I i► _ ATE $i «f 17- 1 3 APPLICANT PLEASE COMPLETE BELOW Size of water service 1 " inches. p1 k-c-- Location of any couplings from structure 4 feet. Type of sewer pipe. I I ABC PVC I I Cast Iron Estimated length of sewer line eet. Clean out(if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'l &Multi-family 1%of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ 5-' 5-0 STATE SURCHARGE $ _21:KO TOTAL PERMIT FEE $ ___ r 561 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Date `:l k�..D `314 r -" /� - Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 VRIO Date Rec'd Ao ��, ILCITY OF PRIOR LAKE PLUMBING PERMIT /0. 17 . )3 0 O- 4f4'NESOP 1��T I.Blue File PERMIT NO. . 2.Gold City /3.�/s 7 3.Yellow Applicant 'lease i.e or.rintan' • ADDRESS 1966 Shoreline Blvd ZONING(office use) 25-491-001-0 D/C John & Sandra Breeggemann A 6 LEGAL DESCRD LOT BLOCK ADDITION pm 25- OW -DD/- OWNER (Name) (Phone) (Address) APPLICANT (Name) V e v:t :1 A/kb/7 f'?G (Phone) 7 -270- e5e7z (Address) f O' ba2S d � 7 Pel'D k t.,-,/z-e-- 5577Z— (Address) (City) (Zip Code) (Contact Person) SUS' (Phone) 6/7— 27o 6'87 Z APPLICANT SIGNATURE %)d DATE /d —, /3 "4 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other !.✓-;rte( ,' #-e/ The Minnesota Statutes§.326B.148. FEE SCHEDULE "SURCHARGE"has been extended if job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 The minimum surcharge for a Residential,Additions&Alterations $49.50 :"fixed fee"permit is•$S.00 • .1 $ Building Permit# • PLUMBING PERMIT FEE $ V9.J STATE SURCHARGE $ .5"-: 0 TOTAL PERMIT FEE $ 5q. !�6 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid PA YWITH Date BUILD y P7TIMIT Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.L.,Prior Lake,Minnesota 55372 Lynda Allen From: Lynda Allen Sent: Thursday, October 17, 2013 3:47 PM To: 'sbreegge@elimcare.org' Cc: 'alliedexcavating@outlook.com'; Seng Thongvanh; Larry Poppler; Bob Hutchins Subject: Sewer/Water/Utility Connection for John & Sandra Breeggemann Attachments: 20131017152442735.pdf Please see attached Utility Connection Permit. Please sign this permit where marked and return to lallen@cityofpriorlake.com. You can return the signed document via email as you are not being charged the fees associated with this permit($5636.00) so there is no check to mail or bring in. Your connection fee is at No Charge per Larry Poppler/Seng Thongvanh. I have also attached a copy of the Sewer&Water Permit completed&signed by Allied Excavating and the Plumbing Permit completed and signed by Bovaag Plumbing. As soon as we have your completed form signed and returned, we will issue a Permit#&send out copies to you and to Allied and Boevaag. Please return your signed form as soon as possible as your first inspection is scheduled for tomorrow afternoon at 3:00PM (Sewer&Water). If you have any questions or I can be of further assistance, please contact me as Lynda is on vacation this week. Thank you. Susan Zick (in Lynda's absence) Building-Inspections Dept. Lynda S.Allen City of Prior Lake Building Department 4646 Dakota Street S.E. Prior Lake, Minnesota 55372 Phone: 952.447.9850 lallen@cityofpriorlake.com Original Message From: Ricoh3300@cityofpriorlake.com [mailto:Ricoh3300@cityofpriorlake.com] Sent:Thursday, October 17, 2013 2:25 PM To: Lynda Allen Subject: This E-mail was sent from "RNPEE1F31" (Aficio MP C3300). Scan Date: 10.17.2013 15:24:42 (-0400) Queries to: Ricoh3300@cityofpriorlake.com • Lynda Allen From: Lynda Allen Sent: Thursday, October 17, 2013 4:21 PM To: 'sbreegge@elimcare.org' Subject: FW: Permit# 13-1157 for John & Sandra Breeggemann/Sewer Water/Plumbing/Utility Connection Attachments: 20131017160724730.pdf Thank you, Sandra,for coming in to sign the permit. Have a great rest of the day. Thanks. Susan Zick Building/Inspections Lynda S.Allen City of Prior Lake Building Department 4646 Dakota Street S.E. Prior Lake, Minnesota 55372 Phone: 952.447.9850 lallen@cityofpriorlake.com Original Message From: Lynda Allen Sent:Thursday, October 17, 2013 4:16 PM To: 'alliedexcavating@outlook.com';Seng Thongvanh; Larry Poppler; Bob Hutchins Subject: Permit#13-1157 for John &Sandra Breeggemann/Sewer Water/Plumbing/Utility Connection Sandra Breeggemann/1966 Shoreline Blvd. came in and signed the permit form. A permit#was issued (13-1157). Please see attached copies and copy of receipt (NC). Thanks Susan Zick Lynda S.Allen City of Prior Lake Building Department 4646 Dakota Street S.E. Prior Lake, Minnesota 55372 Phone: 952.447.9850 lallen@cityofpriorlake.com Original Message From: Ricoh3300@cityofpriorlake.com [mailto:Ricoh3300@cityofpriorlake.com) Sent:Thursday, October 17, 2013 3:07 PM To: Lynda Allen Subject: This E-mail was sent from "RNPEE1F31" (Aficio MP C3300). Scan Date: 10.17.2013 16:07:24(-0400) Queries to: Ricoh3300@cityofpriorlake.com 1