HomeMy WebLinkAboutFence Permit 08-0050
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File
City
Applicant
IT, Date Rec'd
/0,2-1.01"
FeNe,8
\ PERMIT NO.ot, Oust)
CITY OF PRIOR LAKE B
TEMPORARY CERTIFICATE F
AND UTILITY CON
(Please
ADDRESS
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LEGAL DESCRIPTION (off1ce use only)
ZONING (office use)
PID
LOT
BLOCK
ADDITION
( / 2- 76~ 5"'9t/
OWNER
(N ame)
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(Phone)
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f
8c..ry
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
UN~
I
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofmg
OAddition o Alteration OUtility ConnectIOn
reNe$ - 1-'1 ~/tJ
CODE: OI.R.C. OI.B.C. ~MiSC
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrmshed InformatIOn on this apphcatllln which is to the best of my knowledge true and correct. I also certIfy that I am the owner or autllllnzed agent for the
above-menl1oned property and that all construCllon WIll conform to all eXistIng state and local laws and will proceed in accordance with submItted plans I am aware that thc buildIng
<ltfiClal can ~or Just cause FlItthClmOle, I heleby agree that the CIty offiCIal or a destgnee may enter upon the plOper1y to perform needed Inspec <lns
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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 $
This Application Becomes Your Building Permit When Approved
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I Date'
.,--
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $ /?
TOT AL DUE $ 6t'}
/
Paid 1 Receipt No.
Date \ By \
'II/11+li,., I / ~ to1- L,Yl ~
ThiS IS to cerl1fy that the request In the above apphcal10n and accompanYIng documents IS In accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the Clly Planner Cllnslllutes a temporary Certificate of ZonIng compliancc and allows construction to commcnce. Before occupancy, a Ccrtlflcate "I' Occupancy must be
issucd
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372