HomeMy WebLinkAboutBuilding Permit 01-1019
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File
2. Pink City
3. Yellow Applicant
(Please ~ or orint and sim at bottom)
ADDRESS
17Z 7S- FISH
POI A/T ,eo
LEGAL DESCRIPTION (ollice use only)
() c/7UJTI
LOT BLOCK ADDITION
/J~&PftF:l n
PID 71Zj-310-tJt.Z-()
OWNER
(Name)
DG~tz.Fie.t-O 0GvF.:lAfr7~
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
D /2. #OJZ;;.7C)/J
~/f'::.V8
(Phone)
~ee) I,,/Z. - ~t.t,. -42.83
It. ~
. ("'-
TYPE OF WORK 0 New Construction ODed ::toW' 0 .
, OLo~er Level Finish ~rr.>ljICC 0 OAddition tion ~
o Misc fIz-o Mb tt:;.K- JE r~ALUE (excJll' ~
I hereby certify that I have furnished information on this applica . hi'ro is ~o best Of'~ ledge --~'Orrect. I also certify that I am the owner or
authorized agent for the abov entioned property and that all . on will )~ exis~. g ;""~~ taws and will proceed in accordance with
submitted plans. I am aware t the building official can revoke this perm1t ~ hereby agree that the city official or a designee may
enter upon the "'--1"-- -J to pe needed inspections
X 9R~
r-'Signature Contractor's License No. Date
ORe-Siding
OUtility Connection
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~:::/gned by the City Planner constitutes a temporary Certificaq-; I;~ CltnplJance and allows consl1Uction to ....---....-...., Before occupancy, a Cenificat. of Occupancy must be
~ctor I Datel 151 Special Conditions, if any
V 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245