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Building Permit 15. 0688
0) ƒ oo n 0000OO o > En n n g oo O ■ -0 $ocl ■q% R z �k c§ 2 kECif OM© 2 > Bfi fi0P C% ■ Z B k� \$ok � k O § k k mm r o 3 ii 17 13 VI \ z m k m ❑ OO ❑ cO 2 x mm m ■ � ■ * ■ � § § § . mr � mr 7 2 z f m # X m m 1 E 'a n ■ A m n TI � ■ ■ Z § m o n ZZZZ m ¢ 0 . rnOO Z Z D 0 � � rkk o § ■ f 51 0 _ 0 m ...- 'I ' z m ❑ CICO a R. v o > 22 §§ J§ \ < ■mmse iri E a- r -r. q R > mm � � 0 53g - E: � . � t S -1r o 0 0 k 0 ClOODIE)Ic T o a ■ n 0 0 . 0 ■ 712711171 § & v �q k r ° k kk s - rrEZk z .... 0 -I@ hi r m 0 ■ m z ■ oz �� % t -4 -4 & Z -0 -®- � • Z- KS .4 * » a —I m z •p z o q ■ 0 ] -n . - q , \ 0 > > 0 W m m Xi r § 3 t xri 073x 00 z ,300 000000 m m ■ 13 o -1 z § § mE > mr § k K 9 cp % § § d ¢ § m 0 0 E m - § 0 0 § E - m q / 0 rz § § Z c Po 0 5. m 1.- -a o m I 0 1-11 � I 0 . 21 1O2 ❑ OQO . §E �|§ 11110M , � Rs k kmmE0 ` -1 \ 71 Z A00 4 0 ? mm2m m ■ -n ■ � F • i uit z -I ,- 0 o4 PRtoCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd (le. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE CP. /Si. tmtm AND UTILITY CONNECTION PERMIT y0Nxesott. white File Pink PERMIT NO. /57 DAxU3Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 53 .3 '?l ( C(-- st,J /?( LEGAL DESCRIPTION(office use only) LOT C( BLOCK ADDITION ie C;Ze III— 4 4 d Ai PID a?5` 1-196-0/6 O OWNER (Name) Cti(ndil D' .5(J c' (Phone) qS Z "Z33 —5-5-Z 6 (Address) 336 3 Ma lc ow, 6., 5,•/. BUILDER (Company Name) � � E---- (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New ConstructionDeck ❑Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ['Addition ❑Altera on ['Utility Connection CODE: .R.C. ❑I.B.C. 0 Misc. Type of'o ction: I II IIIIV V AB PROJECT COST/VALUE $ Occup i cy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ca this rmit f l cause.�`hermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins ections. X 1 ‘ /CV/5--- Signature Contractor's License No. Date Permit Valuation (sis —' Park Support Fee # $ Permit Fee $ c SAC # $ Plan Check Fee $ 7 36 Water Meter Size 5/8"; 1"; $ State Surcharge $ / '5--., Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ f/lli7r // This Ap t.I ,ti Becilzefirotu Building Permit en proved *61 1 14 \ Receipt No. ') 1 ' /1 1� �—� gate / 1r—k ` By ).' ( S b.."".--. int_Official Da l This is to certify , he r est in the above�plicatuon and accompanying documen.is in acro 4 ance with the City Zoning Ordinance and may proceed as requested. This document when signed, ;•ity 'lanner constitutes a temporary Certificate of Zoning compf:nee and a ows co on to commence. Before occupancy,a Certificate of Occupancy must be issued. 41 ak._ & ce?. (- - Plannin: 10 - .r Date Special Conditions,if any ' 24 hour notic for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 Ag, ' • ,,. r. s„ ;; 'A- r f hal Sa a d1 ,;'sz _ - �., >.