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HomeMy WebLinkAboutZoning Permit (fence) 10-0010 oF re� CITY OF PRIOR LAKE B RMIT, Date Rec'd ,, � TEMPORARY CERTIFICATE F ZONING C MPLIANCE � : � � AND UTILITY CON IT v ° r� ���� T�' i�/ M��'NESO�P � Wh,�e Fde pERMIT NO. �_ 2 Pmk Crty 3 Yellow Applicant Please e or rint and si at bottom) ADDRESS .�,�c-�b L�S-�- H � 1 � N L�R�� S,E ZOI�TING(ott'iceuse) ,l � E N�►J S 5 �2 LEGAL DESCRIPTION (oflfice use only) LOT BLOCK ADDITION PID OWNER R�(,NPC�� SvQ E�F1N� a (Name) (Phone) � SZ ��� �� 1 (Address) � BUII,DER (Company Name) (Phone) � (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-S�ding ❑Lower Level Fmish ❑ Fireplace ❑Addition �Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Conshuction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALiTE $ Division: 1 2 3 4 5 (excluding land) I her�by cerhty that I have hirnished mformat�on on th�s applicanon which �s to the best of my knowledge tnie and correct I also certify that I am the owner or author�zed agent for the � above-menuoned property and that all construction will conform to all ex�sUng stare and local laws and will proceed m accordance with submitted plans I am aware chat the buildmg official can revoke thu permit for �ust cause Furthe�more, I hereby agree that the c�ty official or a des�gnee may enter upon the property to perform needed mspecnons , X 4 �22�2,010 Signa re Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechamcal Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Pe it Fee $ TOTAL DLTE $ This Application mes Your Building Pernut Whrn Approved Paid Recei t NO. �_� 4 Z Z�/ � Date B � r Buildi e (�ftic�al Date This is to cerufy t at the request m the above appLtanon and accompanymg documents is in accordance with the C�ty Zonmg Ordmance and may proceed as requcsted Th�s ducument when signed by the C�ry Planner consututes a temporary Certificate of Zonmg comphance and allows construction to commence Before occupancy, a Ceruficatr of Occupancy must be �ssued Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 .Y � � � � � . � •2r `;� ���� � � , � � - � . * ..� 5 � k �,`e x r , ' . n . - '_'- ..+ � f f � �„ e..w_�... ,..,r,.__,.• _.,.a.....> e.__ y ...»�............__, r_ .-.r_.. . 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