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HomeMy WebLinkAboutBuilding permit 15. 1039 �\ lr C3 12 Tic n 000000 qg o > � n % 0 00 s0 co -n oo z A � q 03 r k k § . m z EE. k2 ril z k q. % # q qq 2 61Q50 P o ■ � 0 a ° 0) m 2 § 777 0 q ■ 0 q . • = 0 \ 0§ > ° mm § xi r § 3 % m 73 o o \ 000000 1 o \ z o m ` rnERIrn § k � ? i q § § " \ § m o 0 E rn -1 ). § § § § § z m NI q 0 Z X222 73- c z z r 0 2 F I . r §13 • j a / it M • c 0 �_ m OOce R. z § o73 � n3 0 § �> R. 0 0mmC) In iiR � � C, jm 0 § � 4R tet 1 E I � r Q G CITY OF PRIOR LAKE BUILDING PERMIT, CA- TEMPORARY CERTIFICATE OF ZONING COMPLIANCEate Recd CTION PERMIT 00fascttr 1. White File Please 2. Fink City PERMIT NO. n / or and at bottom3 Yellow Applicant is-403 Y ADDRESS I S` ZONING(office use) stn . .. Crkr . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER , (Name) �t �� S Inn II _ II '' (Address) (Phone) 95 o� , y BUILDER (Company Name) _ y\ s 11 .t i IL.-- (Phone) (Contact Name) -6("1CAN.- _ (ps I — 6y_�V$g (Address) nab C c). G (Phone) ,, t9LO, Se ' C r‘.. 5 5 1t TYPE OF WORK 0 New Construction []Deck ❑Porch []Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace (_]Addition []Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. Type of Construction: 0 Misc. '_.1.I i - OLA-) c4411 OccupancyyGroup: I II III IV V A B E F H I M R S t R" a �%Vd) $ $a 0 Oo . Division: 1 2 3i UST 4 5 (excluding land) I hereby fy that have! finished information on this application which is to the best of hereby '.fy d aI erty that he all fo information will cm my knowledge nue and correct. I also certify that I am the owner or authonzed agent for the officialvca revoke this permit andfor to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building J use. Furthermore,l hereby agree that the city official or a designee X /� may enter upon the property to perform needed iaapcctionc. AA ).-_.• „ L . ao� 3o 83 _, . 15-- SSignSignature ature Contractor's License No. Permit Valuation Park Support Fee # ©_ vmrmuum 1.I II II 1 I i i i 1 i 1101 I I I I I M. .. .- - .117PI71‘'Iligaliiiiiiiiiiiiiiini ra mi•.••.•••...i......I 1 I I I I I 111 II I I I I I I I II 11111111111111111111 ILI al..I leIMII I I I•I I I I I I II I”I I I I I 111.°"11MIMM...m.m.!!!11"1 I I I I I I I I I ilI 1111111111Pressure Reducer M Sewer/Water Connection Fee # Plumbing Permit Fee Water Tower Fee # ,■ Builder's Depositinmmiiu Gas Fireplace Permit Fee Other TOTAL DUE ©®. This Application Becomes Your Building Permit When Approved Paid Date Recei.t No/ V> Buildin Official Date / Thu uto 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,a Ceitiricate of Occupancy must be issued. proceed as requested. This document Planning Director Date Special Conditions,if any