HomeMy WebLinkAboutZoning Permit (fence) 10-0022 F re� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
° '�� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��( `D
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� � � AND UTILITY CONNECTION PERMIT
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M�n'NESD�P I Whrte FJe pERMIT NO. /�_ zZ
2 Pink Crcy
3 Yellow Applicant
(Please e or rint and si at bottom)
ADDRESS R ZONING (of�ice use)
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LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER ,� � �(
(Name) � 1 ��� �/ l' LU �� (Phone) ��� � `'Cl] � ���
(Address)
BUII,DER �
(Company Name) (Phone)
(Contact Name) � (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ Fireplace
❑Add�uon ❑Alteration ❑Utility Connecnon
CODE: ❑I.R.C. ❑I.B.C. 1�3Misc. �C�,Q C'� � ` CE'��'� �I��
Type of Construction: I II III IV V A B /- (� !�,�,�
Occupancy Group: A B E F H I M R S U PROJECT COST/VALLTE $ �� �' v V
� Division: 1 2 3 4 5 _(exciuding land)
I hereby cerufy that I have h�mished �nformat�on on th�s apphcatton wh�ch is to the best of my knowledge true and correct I also cerufy that I am the owner oi authonzed agent for the
above-menuoned pmperty and that all construction will conform to all existmg stare and local laws and will proceed m accordance wrth subm�tted plans I am awam that the buildmg
ufficial can revoke this permrt for �ust cause Furthermore, I hereby agree that the city official or a designee may @nter upon the property to perform necded mspecnons
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S�gnature 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 # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiJE $
This Applica s Your Building Pernut When Approved Paid ReCei t NO.
� ` /� / �� Date B
�
i dme (�fticial Date
Thu �s to cert that the request in the above application and accompanymg documents u m accordance w�th the City Zoning Ordmance and may proceed as requested This ducument
when signed by the Gry Planner consututes a temporary Certibcate of Zonmg compl�ance and allows construcnon to commence. Before occupancy, a Cernficat� of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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SURVEY PREPAREO FOR : �� r ;�/21226 • D29'.S
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Tb23 UPPER 16T TH ST W. � �
LAKEVILLE . MN. 55044 . �9
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APPROVED P��
PL G DEPT o
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5igaed Date rof Z8 � �
B.M. EL. 100.00 (assuaed) '�P �
of hy�drant at vas�ner of Lats 1� i
11, Block 4 ,
DF.SCRIPTION: x.2 desnbes existinl 9=�
e�e'vatio�
Iat 10, Slxk 6, SAI+� POINi'E 3RD ADLIITI�I, Saott Cwnty. 9a.e �p� pY,pposed finistie3
Miiuyesota. Rlso showin9 the Locatian of tYre propo�ea . �t�,on
hAUSe as st.ak� this 14th day of Sept�ber. 1983. 9r�
-----�. derr�tss direction of surfaoe
Set t�ele 97 • 30
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and thot �+n o duly ANi�r�sd
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the State ot M' .
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CALE IN FEET , � � � � � � ��
H�o�s Men rnaw�«a �ou�d• F �� E N = 4389 800K �.d.4Z... PAGE �..
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