HomeMy WebLinkAboutDemolition 02-0882
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. While - File
2. Blue - CjW
3. Yellow - AJ>Plicanl
Permit No. tJ z.,.- 9J ~ 2.-
DIRECTIONS
1. DATE
BUILDING IN.RMATlON
Jl
101 ~OOO\
LOT
ADDITION
A I{I[ 3 Or z,tJ tJ Z--
ff
x
FOR ADMINISTRATIVE USE
7-19. 1J2..- 45K- L.O ~. /
S/} F~
METRO SAC UNIT DETERMINATION
f'oJo,...r6'-
MATERIAL FILED WITH APPLICATION
CJ Site Restoration Plan
CJ Utility Abandonment Plan
CJ Sewer Abandonment
USE OF BUILDING
SITE RESTORATION PLAN
CJ Water Abandonment
Accepted by
Rejected by
CJ Electrical Abandonment
CJ Other
Occupancy Group A
B
E
M
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
TYPE OF CONSTRUCTION:
II
III
H
IV
R
V
Division
2
3
4
Dam~\~ t1-
/
This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
ma proceed as r ue te
Other .................................................................. $
TOTAL CREDITS ........................ $
o
By
Issued by
Date
L
Special Conditions if any