HomeMy WebLinkAboutFence Permit 07-0007
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
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File
City
Aprlicant
PERMIT NO. Or -07
I
ZONING (office use)
(Please type or print and si~n at bottom)
ADDRESS
;:;70 2-
~
loST" ih(Lfz.;~/12.
96.
(ZISD
,
LEGAL DESCRIPTION (office use only)
LOT !1BLOCK c;- ADDITION
~SHAN~(L/ - Crt
PI9-Zf-/6f- 092-0
(Phon0) /~~~')..~ \\\OC;
\..0'\\ ' ;).J.o 1...0",)" <:Ie
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OWNER
(Name)
Al>,1A1 BLA-.H~fC-
~ua. ~~ ~'G" C." 'f- \ ~,,: "" l>~\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility ConnectIon
ORe-Siding OLower Level FinIsh
o Fireplace
CODE: DI.R.C. DI.B.c. o Mise.
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
FG-~c6-
,
PROJECT COST IV ALUE $
(excluding land)
I Penalty
I Plumbing Permit Fee
i
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fi~ce per1t Fee
/ II" ;
TwtyD:
----{' JBlIll(
$
$
$
$
$
Sewer IWater Connection Fee
#
Water Tower Fee
#
.
J /
/ /
$ / //1
$~/J{'
! \ I ....../
Receipt No, I
By ,
Builder's Deposit
Other
TOTAL DUE
en Approved
Paid
Date
.
This IS to certify that the request 111 the above applicatH111 Jnd accompanYll1g documents is 111 accordance with the City Zoning Ordinance and may procecd as requested This document
when Signed by the CIty Planner cllostItutes a templlrary CertIficate llf Zllnmg cllmphance and allllws CllnstructlOn to Cllmmence Before llccupancy, a Certificate Ill' Occupancy must be
isslIed
Planning Director
Date
2-1 honr notice for all inspections (952) -1-17-9850, fax (952) -1-17--12-15
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any