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HomeMy WebLinkAboutBuilding Permit 16. 0075 ui z 1N z w W a� � W Q .� F W" O A. �Z V V W 0 Q O�WWN W (:, re 2 < W 0 4. 0 0 0 o ❑000 ❑ a W = 1 0 N 0 tJ rt w Z zul U V a. o ( o » Z .13` o. W �+ p 1 Fes. '� O x rt 0001 / N F O V 0 W mSWZ �= W0 W0 OWC Z pG VIZ i e ' o W i N � � ai3waTe �.I o�aC � � � (' ❑ocioci ❑ , J Z < 0 14 Q IN 0 W V O co O != Q ; yr Z Q go 0 0 w FN- x o a o OZ O za3 Z W o 0 0 c V v o Z 0.� — W W OC 2 OOgN ~ 0cL c V co W Z �Z < 0 a 0QDDOO 0 it Recd F r>Rto CITY OF PRIOR LAKE BUILDING PERMIT, `Date , ' d o '� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I '• s AND UTILITY CONNECTION PERMIT � 7.) � i.White Fite ty PERMIT NO. 1/ (W/II A3 t S� 2_ Yellow Pink Applicant , �HNEl� Please A or .rint and si , at bottom) ZONING(office use) ADDRESSZ $ 7 (,, , Lei LEGAL ESCRIPTI N(office use onl ) /33_e�/Jr�� 3 PID 2. - 'LOCK ,Z�'P ITION LOT OWNER (Phone) 1- �t ) � f3/4e( C (Name) �� }} 11 fLJ Pi-4. `�UY12W rr11'TI .ti GjZa (Address) " b 0� C BUILDER 'T Cu� kir G,t.Y 5 (Phone) , ( L - 6' U l / I (Company Name) (Phone) (Contact Name) L:7- c. P r- h (Address) 1(/ } (t ki TYPE OF WORK 0 New Construction ODeck ❑Porch Age-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection 0 Misc. 1±3.01°'—‘-1-)------:—_� ^�� W CODE: DI.R.C. D1.B•C. PROTECT COST/VALUE $ l/! I II IV V A B e a Construction: A B E F g I M R SU (excluding land) ccupancy Group: 1 2 3 4 5 •ivision: 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 1 ove- certify d pt t have and furnished information on this oto submittedo�needed rn I a ons. above-mentioned property and that all construction will conform to all existing hat the my official or a designee mayproceeder upon the property withhpplans. I am aware t�t the building official can revoke thlSAermit for ju ause. Fu hermore,I hereby agree / (T .Li . r l �j l•• j ` Date Contractor's License No. IFBIIIIIIIIINI Permit Valuation _IIIIIIII Park Support Fee # Plan Check Fee liallialiniall IERNIIMIll 111111 111111111.11111 litiligi ©110 Pressure Reducer !\II Sewer/Water Connection Fee # UIIIIIIIMIIIII Penalty ■-■ Water Tower Fee # Plumbing Permit Fee 11111111111111111 Builder's Deposit © Other ©�- • ..aMgll1UMIIIIIIIIIIIII TOTAL DUE ©�` OC)Gas Fireplace Permit Fee - }�� i� Recei.t No. � This Application Becomes Your Building Permit When Approved �SB Dat �M �' 'qv Building Official Date 110 is rsig Planner certify that the requestthe above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documebe nt •n signed by the City Plconstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Cetttficate of Occupancy must ,cd. Special Conditions,if any Date Planning Director 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372