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Building Permit 14. 1271
- n 000000 -0 0 > E0 nn 0 ■ "ns � m , 0 § 0 534 / r mmxi 73 } Se - § c3Zrj CA -I-a § ;ate q q \ 2 M 0 0 Q P Z k § ° . 0 0 t "n >0 / 0 m % 0 » z ■ � r 0 3 � � I -n -0 -0 m 2 o o ,• 000000 �1 41 A m m m . ■ -0 ■ s -a o X § mm �� ► OMC � � E 7 ? - ■ § ms n 0° • 2 M 8 § > 000 �0 C -I m q _ 0 0 z22 z / z ' CO r -0 -0 P m / 0 \ x73 �� c00 li rn 000000 ( 2 7 a22 §§ — R. .k-17.c.s. "1 % © CvmNI ® % z Akk � q tn A tax F @ § $ § m 01 PRIG '61.," \t; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U 17/ AND UTILITY CONNECTION PERMIT rNNES0 2: 1e FileCity PERMIT NO. �,// 1 ase type or print and sign at bottom) 3.Yellow Applicant '4•� �Z 1 5 DRESS y ll I l 1 S -! � -�1 qvc ^i,' A"�. 1 ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION / PID 2,6%. 241.0e...0 OWNER (Name) ��T 4 A t�'1 b t.A o,,,tk..A...1\MN,r•, (Phone) C9 i e7 ' ,= CO I(9Q9 � ,`� (Address) 3a O() �44.ern of\ R' ex. • ►�..JV . v\LL' BUILDER �(Company Name) ( r QSTh IN-VC: C ( OY T\*.X1/47 (Phone) nn� 'S� 472 "'(Contact Name) Aa ANAC" (Phone) L.cla • s-Sca - (1 a 0a (Address) taw?l u No 14W ern bE Q .. +A"\I (1, ) IAN,1N . Sc ? TYPE OF WORK 0 New Construction ODeck QPOTCh Xiie-Roofing ORe-Siding Lower Level Finish 0 Fireplace CODE: R.C. DI.B.C. DAlteration DUtility Connection ihipeof onstruction: 0 Misc: I II III IV V A B Q ruPc9 Group: A B E F H I M R S U PROJECT COST/VALUE $ p vision: 1 2 3 4 5 (excluding land) I hereby certify at 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 above-meatio,:.property and that all•,., ction •' conform to all existing official can ,ke this Furth....re,I hereby state and local laws and will f ......l. proceedntin accordance ywith o submitted plans. I am aware that the building agree that the cityofficial or a designee may enter upon the property to perform needed inspections. X air If S afore �' ,1 •' Contractor's License No. Date Permit Valuation 2 ll -- Park Support Fee Permit Fee $ —1 SAC Plan Check Fee �� # $ $ Water Meter Size 5/8";1"; $ State Surcharge $ 5-�. J 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 $ This pp ition Becomes-- . ..J .��.r Permit ' en A A. ,ved 1, i Pad R eipt No. _5(?) ig Date // /3.( 'it" I Bt ,r,• it-----7 late is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma signed by the City Planner constitutes a temporary Certificate of Zoning complianceand allows construction to commence. Before occu Y Proceed as requested. This document panty,a Certificate of Occupancy must be Planning Director Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372