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Building Permit 15. 1215
w0 1k 13 r _] 1ZEr ■ � z� 1j < . 0 § 25552 � k. k �� � 885.5.\ < 41 0 � ' 00000 � Uj a r 8 U) 0 \ u / u _ - k L � - I o 11 a I-I- ■ 0 o§0 a o Q § ki z z ■ & _ xzzz 0 0 § 7wre �• I 2 c / k D 0I- M ! § A3 0 k a ■ ■ ■ a ■ w2 3 NI 000000 " 0 0 re z % IL CL ƒ R E � Q Z 0 < \ U \Z § z L Ca U. 0 0 1 % z 0 a.R § 2• zkkp 2 w k 0 0 - // Cmi re ui t ILI Z 88gozk 2 . 0 O / A § $ 2 LU- IL ■ ■ ■ o ■ a E53 « o a 00000o U O O / �of pR�°� CITY OF PRIOR LAKE AKE BUILDING PERMITCs" RARY CERTIFICATE OF ZONING PERMIT, AND UTILITYPLIANCE a‘,i. PERMIT *1A'NFsdo ( /9�2G� w�4. I S or not and si. at bottom ADDRES 2. PinkWhitei. File tY Please 4, PERMIT NO. CJS /2" 3 Yellow Applicant �� `--�`/ Si-7 ZONING(office use) LEG SCRiPTION v� (office use only) LOT BLOCK gDDITION OWNER - 9 _,1i R l I - 2 N (Name) j PID �/J -.394'? '�/ a (Address) / �i c.caPc:2 �.v (Phone) 9.c-z_ - Co 80 7 BUILDER (Company Name) 4.41,-,..4 (Contact Name) Ste-— a�cy,,.G- (Address) /,2e,,/-6,-----4---��2 (Phone) -/ - viE / (Phone) OF WOg� / '.z'„',>0 /f 4/ • -3-34,<S— TYPE ❑New Construction Deck °Addin°n uCtiOn ation °Porch #2'e-Roofing CODE ❑Utility Connectidt DLRg (]Re-Siding ❑Lower Level Finish ❑Fireplace .C. OI.B.C. Type of Construction: k Mise. / D s Occupancy Group: A B I I III IV V Division: II I `� B 1 M R S U PROJECT COST/VALUE I hereby2 3 4 $ (excluding land) $ - certify that I have famished information on this application awe-mennoned property and that all construction will conowhich is to the best ofI I official c revoke this t. conform all exiis g state and local laws and knowledge will myr nue and correct. I also certify that I needed the Owner cot authorized agent for the jat use. Furthermore,I herebyomagree that the official a designee K �'� Proceed in accordance with submitted plans. I am aware that the �����- S may enter upon the property 11111/ �- Signature to ponn inspections. building Permit Valuation Contractor's License No Park SupportDtea Fee # plan chediammima maimmensmin ` - lallerin”, Pressure Reducer 11.1111111111111 Penalty Plumbing Permit Fee AlIIIIIIIIIIIIIIII #Sewer/Water Connection Fee �_ i . . Water Tower Fee Builder's Deposit Gas Fireplace Permit Fee Other TOTAL DUE / ©" � This Application Becomes Your Building Permit When Approved ` l Paid • Date Recei.t No. _ a%L Building/�Yticial J B Date 0� AIMu to certify that the request in the above a , when signed by the City Planner constitutes a temporary and accompanying I issued. panying documents is in accordance with the Ci Porary Certificate of Zoning compliance and allows construction try Zoning e. Before and may commence. Before occu Y proceed r requested- This document i occupancy,a Certificate of Occupancy must be i • Planning Director i Date ' 24 hour l notice for all inspections(952)447_9850 Special Conditions,if any 4646 Dakota Street Prior Lake,MN 55372