HomeMy WebLinkAboutFence Permit 08-0010
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
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I PERMIT NO. O~ - /0
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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OWNER (>
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(Phone) q F;;Z- 1'10 - ~ I I q
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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(Phone) (\ <( d- r Y (( {J' ~ /I CY
(Phone)
ORe,Siding OLower Level finish 0 fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlon OAlteration OUtility Connecl1on
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CODE: DI.R.C. DI.B.c. ~Misc
Type of Constmction: 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
PROJECT COST IV ALUE $
(excluding land)
I hereby certlty that I have hlrnlshed mfmmatlOn on this applicatIOn which IS to the best of my knowledge true and COlTect I also certify that I am the owner or authorized agent Illr the
JbnvC-mcntlOllcd property a at all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the building
otho,1I can ~ tl s pelmIt r Jl cause I helmOle. 1 heleby apee that the CIty offiCIal or a deSignee may enter upon the plOpel1y to pntOl 10 needed msp:cttons -:? _ U
X "-=- -V ~ -~-
Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ i
Iication Becomes Y o~ui1ding Permit When Approved
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Iluildl11" Of!icwl Date '
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $ ?")
-
TOTAL DUE ~ V
Paid
Date
Receipt No.
By
ThiS IS tu certify that the request in the above application and accnmpanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner conslltutes a temporary Certiticate of Zonmg compliance and allows Cllnstruction to commence Befllre occupancy. a Certlticatl' of Occupancy must be
issued
Planning Director
Special Conditions. if any
Date
24 hOllr notice for all inspections (952) ~~7-9850. fax (952) ~47-~2~5
4646 Dakota Street Prior Lake, MN 55372
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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April 23, 2008
http://gis.co.scott.mn. us/serv let/com.esri .esrimap.Esrimap ?ServiceN ame=overview &Client... 4/23/2008