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HomeMy WebLinkAboutBuilding Permit 15. 0188 I O �� a \ o 0 o 0 O000OO -0 k ' A x D _■1c � p � § $ 0 2g ' © 0 ® z / R > i-r-I z k m 2 k 2 a C) \ $ 2 -0 \0 5*0 o 0 --9 t / / / •• . • Z Z n 0 2 / § . 0 k o m o o 1 0 - m 2 , § § ® OOoQOO / k 0 f m m• Mtmr 0 052 No _\ B / . �� 7$■zmk n CO k0 1 I§zz �E. z 0 , 0 / l / z A k •kr 11 / n 2§KmEG -I e ' ■ilio§ 4 > /x np ;0 .� | _ » A§$1 s � -'e kid k k �� PRIO ti's CITY OF PRIOR LAKE BUILDING PERMIT, v , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Rec d r ,c1AN AND UTILITY CONNECTION PERMIT 3—C / I.White File 'lease j, or 2. Pink City PERMIT NO. print and Sl:n at bottom 3.Yellow Applicant '..-.--W ��; ADDRESS IVV r ZONING(office use) LEGAL DESCRIPTION(office use only) / LOT BLOCK ADDITION OWNER PID (Name) '01 P I I (Address) lor1-0 \A Ion (Phone) " Z 33— D 11 6W BUILDER _ • A ,/ (Company Name) + ' (Contact Name) lA _i ii 01 (Phone) — � (Address) ill * # 1 ' : i (Phone) 11/s - 1 / ia,1< N FA, I TYPE OF WORK 0 New Constructionr °Addition DAlteratio❑nDeck Oporo t\Re-Roofing I Re-Siding OLower Level Finish 0 Fireplace ❑Utility Connection CODE: DI.R.C. DI.B.C. Type of Construction: I II 0 Misc: Occupancy Group: A B V A B Division: E F H I M R S U 1 2 3 4 5 PROJECT COST/VALUE $ D , (excluding land) I hereby certi th. .ve furnished inform„Con I hereby one on on this application which is to the best of myknowledge true and correct. I also certify prope�, and .1 con PP above-ci. an rev.,e this p: I. ti,n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building s e�or; y gr city rtify that I am the owner or authorized agent for the I ,I her-. agree that the official ora designee m enter upon the roe to perform needed in pecti ns. R �.A ,, ./'�, P property rty ��k�� - - D l d3 vContractor's License No. Permit Valuation - ate Permit Fee Park Support Fee # Plan Check Fee IUIUI L►Z/ Penalty 41 Pressure Reducer Plumbing Permit Fee Sewer/Water Connection Fee # 1221=imaimullililim 1111 Water Tower Fee # Sewer&Water Permit Fee Builder's Deposit Gas Fireplace Permit Fee Other laillim TOTAL DUE IMINAMIA This Application Becomes Your Building Permit When Approved Paid il►`y ��' Recei.t No. Date B mann Buildin•Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, issued. proceed as requested. This document P cy,a Certificate of Occupancy must be Planning Director Date 24 hour notice for all inspections(952)447_9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372