HomeMy WebLinkAboutHome Occupation Permit 15-02 Case File No.
Property Identification No.,S - • b C)
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City of Prior Lake
APPLICATION FOR A HOME OCCUPATION
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Brief description of proposed project
Requested Action (Please describe the proposed amendment,project,or variance request.
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Applicant: o�,e( 6uvi
Address: [.r (o eorvk 1 N67, PrCor La Ice
Telephone: q —ZZ 1- y home work fax
Property Owners (if different than applicant): •po v of (a S o,,,J 15k e t �6y✓l✓1 e-� _
Address: dd onsTrlc/ fV
Telephone: — home work (fax)
Type of Ownership: 9 Fee ❑ Contract for Deed ❑ Purchase Agreement
Legal Description of Property(Attach additional sheets if necessary):
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To the best of my knowledge the information provided in this application and other material submitted is
correct. In addition,I have read the relevant sections of the Prior Lake Ordinance and procedural
guidelines, and understand that applications will not be processed until deemed complete by City Staff.
Applicant's Signature Date
Fee Owner's Signa Date 0-0 15
City of Prior Lake RECEIPT
' 4646 Dakota Street SE
Prior Lake MN 55372
a.t:
952-447-9840
RReceipt: 3703
Received Of:
Date: 12/16/15
The Wandering Mug LLC
Customer: The Wandering Mug LLC
4126 Hidden Pond Trail NE
Prior Lake MN 55372
Receipt item,, Receipt Description GL Number Total
Home Occupation Permit 15-0002/41269 Hidden Pond T
Home Occupation Permit 10.00
Receipt Total 10.00
TENDERED: Checks 5030 10.00
Total:10.00
:
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