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F PRtCITY OF PRIOR LAKE BUILDING PERMIT, Date RecdTEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4 '¢AND UTILITY CONNECTION PERMIT
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Pink city PERMIT NO. 24,5"+ Yellow Applicant ��/
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
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LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER
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(Company Name) CtV`'l t P c_WLo 0 e1 t,,,j ()",--, C--- ---S�5 11 (Phone) -6 I P13 —O o 13
(Contact Name) ( co y (Phone) /)
(Address) 3t�O V c_40(--,6„c_40(--,6c_40(--,6„ 54 lO s sit �(Q- J 7 (--_-,--
TYPE
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re•Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection E K':5ti'- 9)€ t"\5
CODE: DI.R.C. ❑I.B.C.
0 Misc 4-'e SS '"4kk -OW 3.\i K t6 of
Type of Construction: I II HI IV V A B 1 700Occupancy Group: ABE F HI MR SU
PROJECT COST/VALUE $ i
(excluding land)
Division: 1 2 3 4 5
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 of 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
for lust cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections C
Xficial� �AD
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Signature Contractor's License No Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8", I", $
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 I $ TOTAL DUE - $
This Application Becomes Your Building Permit When Approved Paid 79 I/ ceipt No. Ill
Date ¢-, ij ".
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 pioceed as requested This document
when signed by the City Planner constitutes a tempoiary 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
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Scott County, MN 4�
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Parcel ID 250730060 Improvement $176,600
Property Address 5955 HIDDEN OAKS CIR SE Market Value $256,600
PRIOR LAKE MN 55372 Homestead Status Y
Taxpayer Name LEMLEY RAYMOND A Homestead Classification 100 Res 1 unit
Taxpayer Address 5955 HIDDEN OAKS CIR SE Total Tax
PRIOR LAKE MN 55372 Balance Due
Taxing District PL CITY Total Due Past Years $0
Township/City 25073 Architectural Style RAMBLER
School District Year Built 1972
GIS Acres 0.67675 Bedrooms 3
Deeded Acres 0.00 Bathrooms 2
Zoning Classification Garage Size (Sq Ft) 532
SubdivisionName HIDDEN OAKS 1ST
Legal Description ADDN Lot 006 Block 001 Sale Date
SubdivisionCd 25073
Sale Price
Land $80,000
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a Map Scale
legal document and should not be substituted for a title search,appraisal, survey, or for zoning verification. 1 inch = 31 feet
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