HomeMy WebLinkAboutBLDG 07-0169
OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
YCERTIFICATEOFZONINGCOMPLIANCE.. 3/ Z8(07
UTILITY CONNECTION PERMIT
I. White Pile I PERMIT NO
2. Pink City .07 - 01 fa 0
1 Yellow AppIica.. . I
N W I ZONlNGI--l
LEGAL DESCRIPTION (office use only)
LOT' ~BLOCK 3 ADDITION me \tJ \ 10{ S PID 25 - Zq 70~5-C
&= An-l-hon\/ <4-Cyn-l-hitL ~iorl f 10
I
(Address) ( 504 lAJ ,I d s Pkw N uj ?r lor
In~
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TYPE OF WOK 0 New ConstlUction ODeck OPorcb ORe.Roofing
OAddition OAlteration OUtility Connection 0 M'
. CODE: l21I.R.C. OI.B.C.
Type of~on: I
Oca1pancy Group: A B E
Dinsion:
n
F
1
m IV V A B
HIM R S U
Z 3 4 5
(Phone)
L 0. k e f..{f\J 553 2-
(phone) {tp /2 )323 - 03& Z
2-
-Siding OLower Level Finish 0 Fireplace
PROJECf COST IV ALUE
(excluding land)
s Z <)(Jl? ~ M)
I bcreby certify that I have l\mIished information on this application wbicb is to the best of my know1cd&e trUe and c:orrcct. I also certify that I am the owner IX' authoriZed apt for the
above-mentioned propertY and that aU constrUction will conform to aU existinl state and local laws and will proc:ccd in ac:contancc with submlttcd plans. I am aware that the buildinl
~~"'''''-ro''d1iO-l;-~-3rZ;/07
~ ContractOr's LicenSe No. · Date
..
Permit Valuation ~ 2So 0,01)
Permit Fee S '74,7~
Plan Check Fee S ~
State Surcharge S I, "2..~
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Pennit Fee S
This Application Becomes Your Buildinl Permit When ApproYe4
~~ r/~7
Park Support Fee # S
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S I.
TOTAL DUE ''-7lt~, fJ 0
J
r Paid
Date
~~~7
1 :'iot N~ ~2:2.Y'
nus is to certify that the request in the allow application and accompanyinl documents is in ac:cordanCC with the City Zoninl Ordinance and may proceed as reqUl.'Sted. This document
when siped by the City Planner constitUtes a tcmpOl'ary Certificate of ZoninB compliance and allows constrUction to c:ommcncc. JJefln occupancy. a CertifICAte of Occupancy must be
issued
Date
S1lCCial CoaditiOlll, if any
PWminI Director
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