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Building Permit 13. 1179
y 0 ❑ (� 0000 ❑❑ = 0 NA O tn �+ ZmTm O 1 v -142 0 n .(61 a P3 700 3 _ rC3Z �00 m rn 0 �,°i b a ! ?I m X rn Z0 41) >ZDz p N p� '\ * y to 0 z zz 0 „ o�r C al 03 ,, n 1�/ z0- 11 I n Xo Z -I '- mm 01 O > Z 0 c� ` n —I r a V} m o o 0000 ❑ ❑ Z 41 m m m m ra m 13 rN"� > mr * xi N a o �� XSr�i m =3 'v 0 0 �e 0 m a o z0=pppm 3 Z m m =� r � 00 a _� 'c O Z44 -I 0 z ill zX7 z m A NmN a < ❑ 0 ❑ ❑ ❑ 73 0 -n z . N rj 3 N. m55o \ sm z Z / > mm r 0 N \. 5 --s1:1400 . C) 000000 33 0 I* § § i /n n ■ ` 0 ■ -n ■� m-n § § o 71 J. T CD o o z y z0,■ b CO 7 0 2 r� 0 �t q » zz mx d q / Z 3 § A § x x I �, Z ■ 0o ovOOOO 0 4'1 il m � m ► ■ � ■ � ■ � , 3 © © mm 1-I) 7 f \ . ( ■ § mzs m 00 ■ . • 2 e § k I ' ` �BZ � �k C % q d J z 2 i � �22 2 c % # 73 i'a � P mo 112 m . — o o ") ki X0DDDD --........Ni M k���§ / d I� % ` 2 � �� § \..4 $ 2 tom. = mmq _ \ • � $ - § § ,� -i r o .f\ y5 p ❑ � 1 (� DODOD ❑ x 0 0 N- n r df�1Z � TT 0 2 a � 4 n - 73 0 0 = \` N 3 ra > c� °c °omz -i m m m moi ts r .4 � -1 m 0 5 z 0 rop \ n N N . z Z O p1 \ O Z -A-I ` z m y o 1 y 0 > Q (,J El \k z )� 0 0 k '\ , 000000 �, 'i "n m m m IN ••. C mry > m6 U\ ►� z cn • (111d9 o v 3 n � � �. `'• m " t \ c, 0 etn _ o z �, ),,.. 0 , .s, zcc z r> r o : -� m - , � 000000 . N -11 '11 0 ITI , p: > m '� � et o „ z ' \ ' r 0 N • . CITY OF PRIOR LAKE BUILDLNG PERMIT, Date IZee'1_, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1,711),Z 1 .0 AND UTILITY CONNECTION PERMIT ' N E.so,s'r 1 whit H• 2. Fink civ PERMIT NO.73- --111' 3.i tIldw Applicant (Please type or print and si:nat bottom ADDRESS ZONING(office use) 1 0 5 ),)oob bo C_K br NI \JO i i LEGAL DESCRIPTION(office use only) i I LOT BLOCK ADDITION PID 1 OWNER --DiscNi . T)fko 0 y.....Z.? (Phone) (Name) qc1 - 1-tsl, ( I (Address) ... 00t.C-I) WOOD •D‘)C.\-k( (L. 'Hl\i ..__, I BLTILDER I PI\O‘ i (Company Name) ( 1)1 LI (Phone) 6Ia Lt7(6 61'1D 1 (Contact Name) :1 N-50 Q T)i- c;,61 -.S (Phone) (Address) k 0k 6 t! ? 14rk-3tiR d fie-Nou\r e `R.Pci K) c- fi\ s-W13 4 TYPE OF WORK 0 New Construction ODeck [Worth 0Re-Rooling *e-Siding 0Lower Level Finish 0 Fireplace DAddition 0Alreration DUtility Connection CODE: EILR.C. EI.B.C. 0 Misc.: Type of Construction: I II III 1V V A B Occupancy Group: A B E F H I M R S U PROTECT COST/VALUE S 'LS i 610 • Division: 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 1 ant the owner or authorized agen:for the 1 N 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 cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed us awns. .....1 , X Signature Contractors License No. l Date Permit Valuation i Park Support Fee # $ 1 Permit Fee S I SAC # $ Plan Check Fee $ 1 WaterMeter Size 5/8";1"; $ State Surcharge $ 1 Pressure Reducer S Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee 7$--- I Water Tower Fee # $ 3 Mechanical Permit Fee $ I Builder's Deposit $ 1,..._ Sewer&Water Permit Fee $ , , Other $ . ,---- Gas Fireplace Permit Fee $ I TOTAL DUEI $ 17. 7-1 ,' ..,_., .---- , ,--• This Application Becomes Your Building Permit When Approved I Paid 179. -(.5 Ref- pt No. 146-37 . Date /i,) 1-Z_ . I) By' I ,r, Building Offic ial Date 1 I 1 This is to certify that the request in the above application and acconTaming documents is in accordance with the City Zoning ordnance and may proceed as requested. This document 1 I when sigred by the City Planner constitutes a temporary Certificate of Zoning compliance and stows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. I P tinning Diredor DateSpecial Conditionsifan , v ' t... 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372