HomeMy WebLinkAboutFence Permit 07-0034
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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I ~ 7 t I L YD N'S.
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(Please type or print and si~n at bottom)
ADDRESS
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LEGAL DESCRIPTION (oftlce use only)
LOT
BLOCK
ADDITION
OWNER---;)
(Name) k.Jbv-...
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
I White
Pink
'y'ellow
File
City
Applicant
Date Rec' d
PERMIT NO.
8/rO/07
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S.G
ZONING (office use)
PID
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlon OAlteration o Utility ConnectIon
(Phone)
Aut[,
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CODE: J2.R.C. OLB.C, o Misc --(2 C",c-C
Type of onstrnction: I II III IV V A ~(ID PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R (excluding land)
Division: I 2 3 4 5
(Phone)
(Phone)
I hereby certify that I have turJ1lshcd mformation DO this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or autlwnzcd agent for the
ahove-mentlllned property and that ,111 constructllJn will contilrm III all eXIstmg state and !ocallaws and will proceed in accordance with suhmlttcd plans. ! am aware that the hllIldmg
~rICl,~;=e sd.:r :~~ Furthermore. I hereby agree that the City official or a deSignee may enter upon the propelty to pert(lfm 17~d ;~e:tl: 7
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
$
$
$
$
$
$
$
$
/'
"
Park Support Fee
SAC
/,()
Water Meter Size 5/8"; !";
Pressure Reducer
Sewer/Water Connection Fee
"
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~
This Application Becomes Your Building Permit When Approved
~
800/02-
( Date I
Paid
Date
Building Oftitial
Date
# $
# $
$
$
# $
# $
$
$
$ --0-
Receipt No.
By
TIllS IS to eertlty that the request rn the ahuve applrcatlUn and aecompanyrng documents IS rn accordance wllh the City Zunrng Ordinance and may proceed as requested TIllS ducument
when signed by the City PlanntT ClJOstltutCS J temporary Certiticate uf ZLHl1ng compliance and aHows construction to commence. Befure occupancy, a Centfi.catl' of Occupancy must he
isslIed
Planning Director
Date
2~ hour notirr for all insprrtions (')S2) ~~7-9RSO. fax (9S2) ~~7-~24S
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
Scott County
Page 1 of 1
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one, This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
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11
At
August 10, 2007
http://gis.co.scott.mn. us/serv let/com.esri.esrimap.Esrimap ?ServiceN ame=overview &Client... 8/10/2007