HomeMy WebLinkAboutFence Permit 07-0030
CITY OF PRIOR LAKE BJ.IH::iill~'6~IT'
TEMPORARY CERTIFICATE OR-ZONING CO PLIANCE
AND UTILITY CONNECliUI'l t'J!, MIT
~E/VCE
PERMIT NO. 07. () 03{)
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File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
/&8/2- ~E~/Di5
C/Lu6 sE:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER I.-L
(Name) Lo r~rTo...
(). (VI (.L e..-II ~ f-
(Phone) qS.;2 - i./.y? - dJ.. ? 6.5
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
CODE: 'r{jI.R.C. DI.B.C. J(MiSC
Type of 1onstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
Date Rec' d
7-/7-V7
ZONING (office use)
je/
PID 25. /04- .
ORe-Siding OLower Level Finish 0 Fireplace
;='E,!l/t"--E' - 4/ {!ff.1i1A! 1-//\/1:::...
PROJECT COST/VALUE $
(excluding land)
I hereby certity that I have hlrnlshed 1OformatlOn on this applicauon which 15 to the best of my knowledge true and correct. I also certifY that I am the owner or authorIze,l agent Il)r the
above-mentlllned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the bUlld10g
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 1Ospectlons
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( _Signature
Contractor's License No.
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Permit Valuation
Park Support Fee
SAC
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permtt Fee $
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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7- I 7. 0 7
I
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7117/07
Date
Paid
Date
BUlldlllg Ofticial
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r Date
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# $
# $
$
$
# $
# $
$
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ReceiDifN~
By "~(./UIL~
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ThiS IS to eertlty that the request In the above application and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may proceed as requested Tll1S document
when signed by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy mllst be
Issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
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