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Home My WebLink AboutBuilding Permit 11-0901 s 0 :ND, n O OOO= - 0 0> 2 n k 0 0 0 0 j zcn 0 0 0 m § %� co m o o a o 3373 7 C r ■z-I cn w � ` ® ® M § % G§B � cn 5§ III t s § c z $ 2 § \ z n z 0\ $ o m ( § m m r o _ \ kk k c 000000 I% § §m m \ E� *■13 2 --4 § i& o @ \ k f\ E 2 xz E x z m § j / $ � I// 33 C 2 $ q . > § / I m 0 o U 1 m === m 0mmom M ; 73 0 \ § C m 0 � > A. 0 . §mmzK R j 2��§ K -r 0 ii .-- PR6 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ti x AND UTILITY CONNECTION PERMIT 4j I White City File 2 Pink PERMIT NO. . (_ t) 3 Yellow Applicant Please type or print and sign at bottom) ■ )(ADDRESS ,, 9� J> U .pp w ' f ZONING (office use) ; i V ii AV' Z LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER, )/ (Name) 7j < < 7 d2 72, 4 )15 (Phone) 6/e J ev9 ©67 / (Address) - 2...9/6" / /.i lff ji BUILDER �► / Company Name) ( 0 // i faVe— SX [ 0 �i 6 • (Phone) 61Z 790 / (Contact Name) .�ll,0 (Phone) l (Address) ; /hY `" /ii-e //• /+(�� g/ Aivi, . <✓--� L/ TYPE OF WORK ❑ New Construction ['Deck ❑Porch Re- Roofing XRe-Siding ['Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ['Utility Conne ti I CODE: 4: LC. ❑ ` I.B.C. XMisc. YV I JDOWC Type of onstruction: I II III IV V AB L' Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ v�( 0 00 (excluding land) Division: 1 2 3 4 5 1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the - mentiorty u conform g d laws in accordance with tte plans. 1 am aware that the building o above fficial can re ned a this prope p�rmit and f that ust all cause constr Furthermore will , 1 hereby to agree all existin that the ci state ty offi ,,,> an cial local or a designee and will may proceed enter upon the property to perform submi needed d inspections X � � ti "� - imz� — gJOK 4 2 7/ Signature Contractor's License No. D Permit Valuation Park Support Fee # $ U Permit Fee $ SAC # $ (°r l- co Plan Check Fee $ 2 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ , - Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ ry Tlu pile I ? t eco e • Your Builtng Permit When pp Paid 332Z.) • La Receipt No.' A eft (/V q Date 1 /(' 'I (1 By te . 1. //�► l Bu i „ 01'icial Date This is to certify that the request in the above on and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372