HomeMy WebLinkAboutShed Permit 04-08
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CITY OF PRIOR LAKE BUILDI~
TEMPORARY CERTIFICATE OF ZONI '
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AND UTILITY CONNECTION
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T~E OF WORK D New Cons~ruct16n DDeck OPorch ORe-Roofing ORe-Siding OLoJ~; Level FinIsh 0 Fireplace
DAddltIon l OAlteration OUtility Connection 'bJ4~ISC. ~ It~
CbDE: OI.R.C. OI.B.C. ^\ PROJECT COST /fhUE $
Type of Construction: I II 1lI IV V A B (excluding lanll)
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lion on this a'pplication which is to the best of my knowlcdge true and correct. I also b'ellify that I am the owner or authorized agent for the
o ituction will cbnform to all existing state and local laws and will proceed in accordand~ with submitted plans, I am aware that the building
cat e. 'Furthermore,11 hereby agree that the city official or a designee may enter upon the prop~hY to perform necded Inspections,
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natur~, Contractor's License No, 1M.
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1 L.fGAL DESCRIPTION (Office.;use only) ,
!tOT t/ BLOCK 1j ADDhION W/LUJtVS '2P.P
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(Address) 3401 ~v/~ bi4CH 77?
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. ((.a.~ompany Name). .-"1 m~ ~"<=-
,"~~ontact Name)' tit'
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(~ddress) ,
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p'ermit Valuation :
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Permit Fee $
PI,an Check Fee $
St~te Surcharge $
Penalty $
PI,umbing Permit Fee $
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Mechanical Permit Fee $
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S~wer & Water Permit Fee $
G:as Fireplace Permit Fee $
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'this Application Becomes Y our Buil~ing Pennit:When Approved
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\, Buildin!! Ollieial 1 Date
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Park Support Fee Jh\ # $
SAC , Ilh # $
Water Meter Size 5/8"; I"; Iii: $
Pressure Reducer Il:~ $
Sewer/Water Connection Fee IlJ~ # $
Water Tower Fee Ill~ # $
Builder's Deposit 1111 $
Other III $
TOTAL DUE Ill: $
Paid
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Receipt No,
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T~is is to certify that the request in the abov~ application ~nd accompanying documents is in accordance with the City Zoning Ord1rance and may proceed as requested. This document
when signed by the City Planner constitutes ~ temporary Certificate of Zoning compliance an allows construction to commence. Before occupancy, a Certificate of Occupancy must be
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1 Planning Director .~ Dell" Special Conditions,.if any
24hour notice for all inspections (952) 447-9850. fax (952) 447_424511 ;.\
16200 Eagle Creek Avenue Prior Lake, MN 55372 i'
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CL,EIVAJr/ONS SHOWN
AR~ .' 11/ST/NG G,(fiPES
AND ARE AssUMED
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4, Block 4, ~ILL()I..JS Jrd ADD'N.., SC(~tt County, Minnesotal;! according to
plat thereof on file and of record. :'
1 am a duly registered l.and surveyor under the laws of I~he State of Minnesota.
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Gene L. Jaco~
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Dated this 29th day of July, 1983
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BEARI~lbs ARE ASSUMED DATUM.
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i hereby certify that this is 8 correct representation Qf a
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and that
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o DENOTES' IRON' MOrr'
Bob McDonald
McDcinaid Con~tiuction
1212 Bluebill Bay
Burn~v.dlle, Hinn. 55337
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JACI~ 'OB,SON
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Pin 0 N E '
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469 -4328
Prepared for:
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SURVEYORS
MINN. 55044