HomeMy WebLinkAboutFence Permit 08-0052
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\ PERMIT NO. 05 - s-2.-
CITY OF PRIOR LAKE B
TEMPORARY CERTIFICATE
AND UTILITY CONNE
File
City
Applicant
(Please type or print and si/1;n at bottom)
ADDRESS '
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LEGAL DESCRIPTION (clde use only)
ZONING (office use)
f2-~s
LOT
BLOCK
ADDITION
PID 25-012"004--0
(Address)
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(Phone) f5,:]ffs--t/Lj7
OWNER
(N ame)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish o Fireplace
OAddition OAlteration OUtility Connection Fe;veh -
CODE: OI.R.C. DI.B.C. !MiSC G?~ f?/v/ v/) ~/
,
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $ -
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct I also cerllfy that I am the owner or authorized agent for the
above-menlloned property and that all wnstruction Will conform to all existmg state and local laws and will proceed 10 accordance with submltted plans I am aware that the buildmg
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Contractor's LIcense No /' rt:t{
$
$
$
$
$
$
$
$
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$ /'
$ 0
$
Recei;:>t No.
By
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
....
-./
ThiS IS to certify that the request in the above application and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS dllcument
when signed by the Clly Planner conslltutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerllflcate llf Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
C -11' 0: :) 1
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~ W County, MN
,
INSF ~CTOR 'I
OAr: / / 4- 0 t3 p
121 ' ,CCEPTED AS SUBMITTED
o j .CCEPTED WITII CORRECTIONS AS NOTED
o ,aT ACCEPTED-CORRECT & RESUBMIT
TheS ,commen:s are for your infonnation. All work shall be done
.n ful compliance with all applicable building & zoning code ra-
jUirelents including iteills not specifically noted in this review.
KEEP THIS ~".lU\N SET ON SITE AT ALL TIMES.
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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 discrepancies are found, please contact the Scott County
Surveyors Office.
Map Scale
1 inch = 117 feet
Map Date
11/4/2008
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