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HomeMy WebLinkAboutBuilding Permit 10.969 /... ,r rJ�i ��/� , � , ,... ,�., , . ' : � r i Jr lY� r N r 1 5 � � '"�� Ij� ir r ,i �.. r A 1 fl ar 1 1 � � 1 r ,mild / ,.' � ' , in.. tr4Y,,,A iti:.. . ti,, uii . i i . „ 9 r '� " r „, 'rl r, ? / ' i ' MNuii ❑ . u:i ,. tiP, 9 0,9 'i , , „",I tY:Y {II i ;:ir .: ” Y ,1 N,r ',, Cr &rfiftt fr o ® ccu our CITY OF PRIOR LAKE ' �' Prparfntruf n tuti? ixt nsprrti.0 r ;,, CI Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant t o the requirements of Section 1l0 of the ❑ Re sidential / ❑ In ternational Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following Use Classification 5 l+ / (,� � tl / � % l Bld Permit N o. / �l ' 7 �- - Occupancy Type ��- ^' Ty C onstruction ✓ � Zoning District v' ' » p yTyp 4 Legal Description L _ �� 1 . 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Z a i ? ® >: � � ® 1 -J op _ m w `% § z \ 0 % o z 0 O 2 g C4 Z Z z o m " \ k 2 § o -c2 / z aL � � . % � R 2 K2 z � ) -J % LLI /\ §J &2 ƒ� 2 ci o oo k ° E R 5 o u. ��?uu Q » o o az « 0 a ED=O O 0 O 0 / o PR/ � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,' x AND UTILITY CONNECTION PERMIT t 0,0?3 - K) 1NNE5041' 1. Pinto City PERMIT NO . /a ?'6 ( � 2. Rink City / 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) -- Z--g 3 /4.4 k nidit ft d, PU - LEGAL DESCRIPTION (office use only) A r LOTg3BLOCK t`./ ADDITION t5! ` K T -4 s # 1VD /'rk *J /' PID 4-iss7 , 07¢, b OWNER - nil et,n, c e L. L tom' (Phone) (Name) 1�1 C,r4,d►',>• di,' s1; (Address) p,n fvi-c1 /3 q r Ide a- — BUILDER )4 f . C • 7 z ' Moo (Company Name) f i&S 40 r, � j-- (Phone) - / 6�' (Contact Name) 1 yr i 44J 0 0 AU - (Phone) 6 ) 7- Z.6 Z' 70 77 (Address) ) 7 614 .S 3t4 ‘ 19 fT t-/ ,STi- 13.0 1 4 * ict h) (e iMr✓ , S -- () I i ti TYPE OF WORK w Constructio ❑Deck OPorch DRe- Roofing DRe- Siding DLower Level Finish ❑ Fireplace Addition - ]Alteration ❑Utility Connection CODE: I.R.C. I.B.C. 0 Misc. Type of nstntction: 1 II III IV V AB Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ Cj 0 1 00 G Division: 1 2 3 4 5 (excluding land) I hereby certify that I have fur ' ed 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 pro an at all constriction will conform to all existing state and Local taws and will proceed in accordance with submitted plans. I am aware that the building official can revo • is it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X . / ; Z. o 6 3 / ! 6 it /'l) - 7 (v Signature �' Contractor's License No. Date Permit Valuation 2-0 O ODD. ' Park Support Fee # $ Permit Fee $ 14,5 3 •s0 SAC # $ 2-1 e,461..- Plan Check Fee $ C O 14 _Le Water Meter Sizet ; 1 "; $ - _6:;.' O _ State Surcharge $ (�... Pressure Reducer $ cra Penalty $ Sewer /Water Connection Fee # $ / $Cle.), . Plumbing Permit Fee $ I S 4. co Water Tower Fee # $ ( o Cat). - Mechanical Permit Fee $ t 54.50 Builder's Deposit $ / 0 0 Sewer & Water Permit Fee $ 56' . So Other $ 3 1 0. 00 Gas Fireplace Permit Fee $ 5-4. Sp TOTAL DUE engy t,aj on-✓e ro %t _ $13 / ie . zz This • at' . Beco - Les Your Building Permit IN en Ap roved Paid /3 , r Receie N i / t < Date ;bp, �/ By l �. . Building Official Date This is to certify that the i quest in the above application and accompanying documents " in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed .. a Ci I tanner constitutes a temporary Certificate of Zoning comptia a and lows construction to commence. Before occupancy, a Certifieate of Occupancy must be issued Planning Direct. ate Special Conditions, if any 24 hour notice for all inspections (952) 447 - 9859, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 of PRt CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd _ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 / , 1 ' z AND UTILITY CONNECTION PERMIT I .„ _ /1±/6- W 10.q6- 4'iN'NES0.0P I. White File 2. Pink City PERMIT NO. // /1• 3 3 Yellow Applicant • (Please type or print and sign at bottom) ADDRESS it ZONING (office use) 0 ) teri t d LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) re ( %151 . /--p t y ) (Phone) CO 2 2 Z 78 7 /` (Address) /7(' tic j f - Sk BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace ['Addition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. a Type of Construction: I II III IV V AB PROJECT COST /VALUE $ //i Ai Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 1 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 a • ve- mentioned property • • • 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 . n revoke th •ermit for ju cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspe ion•. X ze 3//‘ / 4/ o. / Contractor's Licen e No. Permit Valuation 7.-/ o . Park Support Fee # $ o Permit Fee $ / _ 2 - Z SAC # $ Plan Check Fee $ (O Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / , 0 O Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 - ¢ . 5-so Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUEGM a i 4,1 a _,,, / $ // 7 'f3— This Application Becomes Your Building Permit When Approved Paid 4' r f Rec pt No. / (.0z-// Z Date 3 / ( B Building Official Date 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 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 0 PRIp� . ■ U m White - Budding �, �P Canary - Engineering NN1 S° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICAN /6. c „) ,_ '` I , A /P1 .: i/ T ) APPLICATION RECEIVED _ / 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,- `f 1 I1tV_ ( :/ r , Accepted ,„, Accepted With Corrections Denied Reviewed By: / - ---�`� , Date: ii) r j t Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." � p4 PRIp� ti U to White - Building Canary - Engineering `yINNES��P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT F LL-O 5 T v/ APPLICATION RECEIVED /0. e The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: z7 03 RW-i Accepted / Accepted With Corrections Denied Reviewed By: Date: / Comments: T( ©5 ! vAl (N A-r---- /4, 77,44c-5 "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." 0 1 PRI© I ti U White Building SOKP Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / 6 L- 0 $TOtJ APPLICATION RECEIVED / 0 . 6 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 7 0,3 Mi. pviK- 4 , Accepted D( Accepted With Corrections Denied '�— Reviewed By: >lG Date: /U Za /O See Attments; 1)Srading Plan, -2) -Eros of Measures - __--_ -_ ____.__ -- Comments: - --- -,_ ., ach See Reverse Side for Additional Information! - "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority . to violate or cancel the provisions of this code or other ordinances . of the jurisdiction shall not be valid." ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and /or to the rear of the lot in drainage swales within the drainage easement. • All bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. • The silt fence required by the erosion control plan must be installed prior to any earthwork being started. • The builder is responsible for maintaining the erosion control measures until the turf is established. • The rock construction entrance must be installed at the time of backfilling of the foundation. 6. \Admin \dept info \ADDITIONAL COMME'4TS FOR BUILDING PERMIT APPLICATION$.doc Residential Building Permit Checklist New Constru of • n for Single or Two - family Dwellings in R -1 or R -2 Districts Reviewed by: s,� — Date: iQ, �5 �D a Building Permit # ° %. Zoning: Pus O Address: 2 0%5 3 I1 K p_Aoc,,�� Legal: L , B Subdivision: Existing Structure? YES 1 Existing Nonconforming Structure? YES / NO 4 0) CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA/ FAILS/ COVES Standard Proposed • Front Yard (can be 20' if avg. w /in 150') 25' — 2-S. 3 • Side Yards 10'/ 25' if abutting a street 7. 5 - 7.5 • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 " /1' over 60' if building wall is 10' -0" or greater of being parallel to _ a side lot line. • Rear Yard 25 ' 3 Z- r • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicating no deck will be built in the future 25' rear • From 100 year flood elevation of wetlandlNURP 30' pond. __ • Refer in- ground pools to the Planning Department • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no less than 50' I Floor Area Ratio: NA / FAILS / CO IES 1 .30 Maximum 1 • 19 I Yard Encroachments: 0 FAILS /COMPLIES Standard Proposed I Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). A/C and other equipment cannot encroach on interior side yards. Tree Preservation: `f t 1 FAILS / COMPLIES Standard Proposed I • Total caliper inches • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement '/2:1 L: \TEMPLATE\BLD GLIST.DOC Driveway: NA/FAILS / COFES Standard I Proposed • Maximum width at property line 24' - 2-4 • Required setback 5' from side lot line or 30' from r -o -w on corner lots • Maximum slope 10% G.. • All parking areas to be paved including R -V or . spaces adjacent to the garage • Location to match subdivision grading plan 6 Building Height: NA / FAILS / COIFS 1 35' Maximum 1 'Z a' Shoreland District: NA / FAILS / CO IS Standard Proposed Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum 7 '1- 3 Bluff in Shoreland: NA / FAILS 1 COMPLIES Standard Proposed • Setback from top of bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading in bluff or bluff impact zone No importing /exporting Floodplain: NA / FAILS / COMPLIES Standard Proposed • 100 year flood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' Spring Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90- 11/22/97 then additional foot is not required. • Elevations 15 feet from structure Must be flood elevation or higher • Road access must be no more than 2 feet below 907.9' for Prior Lake Regulatory Flood Protection Elevation 913.4' for Spring Lake I Accessory Structure: NA / FAILS / COMPLIES Standard Proposed • Size 1000 sq.ft. or 30% rear yard • Not located in front yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L: \TEMPLATE\BLD GLIST.DOC PRIR tI ._--! _ N1S' -� CITY OF PRIOR LAKE Date Rec' HEATING /AIR CONDITIONING /FIREPLACE PERMIT 3. 3. 1 1 '' r �� �'NES 2. G I . pink reen Ci , PERMIT NO. 1(. 0 t 3. Yellow Applicant (Please type or print and sign at bottom) ' ADDRESS ZONING (office use) 2983 HAWK RIDGE ROAD N V LEGAL DESCRIPTION (office use only) 11111 LOT 33 BLOCK 4 ADDITION: BLUFFS OF NORTH ODS MEADOW PID OWNER (Name) FIELDSTONE FAMILY HOMES (Phone) 952- 469 -8800 (Address) 17645 JUNIPER PATH LAKEVILLE, MN 55044 APPLICANT (Name)AIR MECHANICAL (Phone) 763 - 746 -3752 (Address) 16411 ABERDEEN STREET NE HAM LAKE, MN 55304 (Address) (City) (Zip Code) (Contact Person) BETTY (Phone) 763 - 746 -3752 APPLICANT SIGNATURE ,8e 2J /P71 1Y . DATE 03 -03 -2011 APPLICANT PLEASE COMPLETE BELOW El NEW CONSTRUCTION ❑ REPLACEMENT gi ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS 2 INPUT OUTPUT DUCT WORK INSTALL IN BASEMENT 6 — SUPPLY, 2 — RETURNS, 1 -50 CFM BROAN FAN. TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ['Gravity ❑ Hot Water into Required Side Yard Setbacks. echanical ❑ Radiation Fireplaces with Box Additions or it Conditioning ❑ Special Devices ['Vent. System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 PAID WM-I TOTAL PERMIT FEE $ KJ I WI NG PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date Nov. 2. 2010 10:52AM Wenzel— Plymouth No. 0354 P. 1 Rio Date Recd 41 CITY" OF PRIOR LAKE PLUMBING PERMIT vS2� 4f rNNSSc 61 ' • 7 , t. ®lu oa W t37 11[[ e l I ( P ERMIT NO. I ' ) f- Yellow Appikam il V game type or print Bud slgu at bottom) ADDRESS ZONING (oniceme) 2 ci f3 3 jtW IL R1 DEG () _ LEGAL DBSCIZTPTION (office u se only) 1 V LOT BLACK ADDITION PID _ own (Name) 1 El- »r /NE A IL I MES (Phone) 9 52-1-6 7 - $806 / TUN �, l PER � r ] I ��r (Address) I7lp45 JUM ER f1TTh 5017E I 3 5 L l[.-C.VI I /i APPLICANT PL (r , (Name) 5 I LV EZ TWEE . I Oa-. (Phone) 6 57 - 3J q -4260 (Address) 11 4-7 5l4 NPE` g /' e- - / 55 ) Z, - ^^�� (Address) (City) (Zip Code) . (Contact Person) jI / s UE _ 1 f7DM ' 5 (Phone) 6 p 5 - 3/ I `.. 4-26? APPLICANT SIGNATURE u>E - ' I ti DAM 1I1I z) z.6/ APPLICANT PLEASE COMPLETE BELOW Quantl l e of Fixture 1 ` IM Bath Tub witb or without Amer I Rou!h-ins I Dishwasher =MI= Water Beater Ma= Floor Drain. . Water Softener MEM Laund Tra 1 or 2 coin u artment sink Sewa: e B ector I Slimy :a Stall Baakflow Assembl Sinks Bar Sink Water Closet Toilet . 11111 Packflow Assembl Test Lawn S dater Other FEE SCIODULE • • Industrial, Conunerelai & MukI.Tamlly I% of jot cost with a $49,50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations 549.50 Estimated Coat $ 8 ° ° , Building Permit# PAID W► PLUMBING PERMIT FEE $ 8 ►NG STATE SURCHARGE PERMIT TOTAL PERMIT F1; $ - -- _ (Ohio Use Only) This Application Becomes Yon r Building Pernik When Approved Paid Rccclpi No. Date By pulttineOfficia1 pate - 24 hour notice for all Inspections (9$2)447-9f150, fax (952) 447•4245 , 4646 Dakota Street S,E,, Prior Late, Minnesota 55372 ••• , • $ PRIOR LAKE DEPARTMENT BUIIL 'ING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2C,$ 3 14,4w1c. 1 c>CL NATURE OF WORK Sti.c7C..'" FAMI � D�Eu- N3c7 No Pc w, po -‘4 l . L... L. USE OF BUILDING PERMIT NO. d O . q (9 DATE ISSUED to/is � CONTRACTOR rzidt- osro ,le FA.m , (4-oati - PHONE 4pl2 7,8z - - /8 - iei NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DO UMENT l NS - Laos tow Coi+r�c- 41.4,x, �rN c-4--44 N INSPECTOR � -TAM OR DATE FOOTING 1 t /J �a / //F FOUNDATION (Prior to Backfill) 1 ,Z 7 /e/ / PLACE NO CONCRETE UNTIL ABOVE pAA BEEN SIGIN AP014 91 - ` ()4 R b IS / /- SEWER / WATER / SEPTIC _ 1 ' / � 1i v FRAMING f, ii /r7J /0 INSULATION , //J ELECTRICAL PLUMBING ✓, 016, P6 r 1 1 1 -5 HEATING (if required) FIREPLACE GAS LINE AIR TEST �/ 12 -0004 pIp1COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 4 0 o G6- wR*4.0 1-A-T-He I %,6 FINALS GRADING (Prior to Sodding) 7/t0 /ll BU LDING , 8 r , z L.1 I ELECTRICAL PLUMBING P6 ,ii 3/ /i HEATING ')df /?i ! DO NOT OCCUPY UNTIL ABOVE HAS BEEN / SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850 25 - . `7,5 . CONSULTING ENGINEERS, FIELDSTONE FAMILY HOMES, INC:: ROBE PLANNERS and LAND SURVEYORS PROJE N0. 14633.00 E NGINEERING • • COMPANY INC . l 1000 EAST 146th ST., S. 240, BURNSVILLE, MN 55337 PH (952)432 -3000 CERTIFICATE OF SURVEY Legal Description: LOT 33, BLOCK 4, THE BLUFFS OF NORTHWOOD MEADOWS, SCOTT COUNTY, MINNESOTA IIII)IIII 000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE (961.00) = FINISHED GARAGE FLOOR ELEVATION (961.33) = TOP OF FOUNDATION ELEVATION (953.29) = BASEMENT FLOOR ELEVATION APPROVED SCALE : 1" = 30' ENGINEERING DEPT LOT AREA: 7573 SQ.FT. HOUSE AREA: 1387 SQ.FT. i,z DRIVEWAY AREA: 615 SQ.FT. • 1 `1 f > v PORCH AREA: 66 SQ.FT. Si . ADDRESS: 2983 HAWK RIDGE ROAD (e HAWK RID ROAD 0 959.0 • MH o 958.65 858.54 0 GONG C7'& "� •4TC --1.- 958.61TC As P Piz-to/1/444 0 '3 "W • 16 N • N8: 959.5 _ ' 2-4' (959.4) CABo '59.3 0 959. II 958.99TC Mimic. bR(Ve 5 `(959.1 95•.07TC y + .4- R ig -- 1 958.:0 U.3 l D�"t'+ N I 5 Ili m T : , ••�• 8 - 9 5 8 .26 I 0. • :.4 Qi,r:. 0 40 ~ �r - N N I- ID �) I. cN GARAGE N 8 (960 6 .2 N o 1 4.16_1 -4 I I- r -- ;n � • 6079 12 5 ' M ;n Z O e•- 955 M 0.5X0.17 JO „.0 p Q o •5 . "?PROPOSED n Lo. ° U u7 - _ > I � � 7.3 N HOUSE N °' .- `n 9 FBLO • 4 • N .956 34 °� 0 I (956.0) (956.0) " Lc?, I0 m i W954.9/ X 954.4 954.:3 LOT 3 3 r- j `'� fi DRAINAGE & UTILITY 5 , E ? ;__ :� „, u \ `-, 5 ce EASEMENT IL / _____ m 952.088PK 0 9X52.23 953.16 APPROVED 55.01 P PLANNING DEPT N88'O4'29 "W Signed i/ 0 ,0 Date /o l> (o I hereby certify that this is a truend correct representation of a tract as shown and described hereon. As prepared by me this I __ day of do -Tope R.- , 2010. go-•--- Reg. No. 19086 RUSSELL P. DAMLO