HomeMy WebLinkAboutZoning Permit (fence) 06-0024
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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1 White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. X-;2L(
ZONING (office use)
J~(jr'5
.
LEGAL DESCRIPTION (ofllce use only)
LOT /"f7BLOCK d) ADDITION
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PJDd5'30~- /)()Jf-(j
OWNER
(Name)
~,vy '</- Cc<rtol
~-hM")ON
(Phone)
1'5;) - '14()--S<OtS
(Address)
i BUILDER
I (Company Name)
I
(Contact Name)
(Address)
(Phone)
(Phone)
CODE: ~I.R.C. OI.B.C. o Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I
ORe-Siding OLower Level FInIsh 0 FIreplace t
~ooL FJAVdL S '~{~._- '
PROJECT COST IV ALUE $
(excluding land) I
I
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration DUtility ConnectIOn
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
.J
#
#
Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIOn Fee
$
TOT AL DUE
~':O::Y;:diD'P'~/; i:~d-1
Bulldlllg ofial Date' J
Paid
Date
Receipt No.
By
ThIS IS to cerli!"y th<lI the request 111 the <lbuve <lpplicatllJl1 and <lccomp<lnY1l1g dllCuments is 111 <lccordanee with the City Zoning Ordin<lnce <lm1 m<lY plllceed <IS requested. Tim ducument
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24 hOllr notice for all inspections (9S2) 447-98S0. fax (9S2) 447-424S
16200 Eagle Creek Avenue Prior Lake, MN 55372