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HomeMy WebLinkAboutBuilding Permit 15. 1165 5 0 O n 00000 TI 0 > 20 0 a 0 0 0 xi �kk �kk M/ k m z � 2222 z $ -I § ■ �10 V I lc 2 $ �os.� Q P i 0— m.13 6 ■� 0- > \ \ / § xi \ o °z nI o Ni # 5 AP -TI > > ° % > = m m ■ § 3 ' w \ x rm a ƒ 2 @ % o ■ ■ w m z SRR ' OocODO / co r71 Ilk ime o -1 § § §rni %Ir m � �$ mm \ 7 ■ nc —In � 3 2 % f 0 q § ■ ,373 § z 0 m a 00 > 000 0 m \ 0r � oo xi o z m � � -0 � m / 0 x 73M 2 0 m 000000 Li z 7 � :: ::i ct k . Oornrn�© k 5�xi tqq m �Pi rq HE z m -, i 0 pF PRN,i, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd y ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v tq AND UTILITY CONNECTION PERMIT ;1A1rE5dSr 2, winhikn Fi,eCity 1 PERMIT NO. l c (leP / (�"'� type or pent and sign at bottom) i Yellow Applicant ,/{/�ye,/1 KESS ZONING(office use) i' 7i N QS S - Ne w �v, Cvl N 55 -701-i R t S Ub LEGAL DESCRIPTION(office use only • LOT BLO PID QS )3Q— D69'- 0 OWNER aj-JoQ.0 01(e:anbN (phone) 60,) 750 -clolci57. (Address) i 'k -'71} ZAAVS S'r N ), LY-) n" 557-3-7a) BUILDER (Company Name) • 'b k cl LLL (Phone) � 9,N-76? 0 (Contact Name) t� OA 1 • c1/4.... C t/ (Phone) I' (Address) -Apo E c � ' , -koV- )S n5 `t 3 TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing ORe-Siding Lower Level Finish 0 Fireplace ❑Utility Connection CODE: DLR.C. DLB.C, 0 Misc. 0If Construction: o II III 1V V A B ant),Group: ABE F III MR SU �PROJECT COST/VALUE $ '� . S 56 . I °n' 1 2 3 4 5 (excluding land) 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 can revoke this permit for just ca se. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed tnspecmons_ X ' tel 7Qc9-)71 OQ t98 t 15 Si. e Contractor's License No. Da e Permit Valuation Park Support Fee # Permit Fee $ SAC Plan Check Fee $ "e7, r Water Meter Size 5/8"; 1"; Sime Surcharge $ Pressure Reducer Penalty $ $ 1 D U Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 1 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit-Fee 1 J $ TOTAL DUE 5"_ 7'5 /1J $ / This Application Becomes Your Building Permit When Approved Paid �j�, � ( ReceiPt No. 7_g g 7 Y/ Date t 1 By Building Official Date2 g (s_ S ____ cf., Icernfy 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 ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be Planning Director Date Special Conditions,if any