HomeMy WebLinkAboutZoning Permit (fence) 10-0032 oF PR� CITY OF PRIOR LAKE BU IT, Date Rec'd
�, �, � TEMPORARY CERTIFICATE ZONING C PLIANCE �7���� �
� � AND UTILITY CONNE IT
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'��NNESO�P � Wn,�e F,�� PERMIT NO. ((� — 3 Z
2 Pmk City
3 Yellow Applicant
(Please e or rint and si at bottom
ADDRESS ZONING (otTice use)
4 S ,� S � , ��
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
ow�R �-- �-- 9 �'2- �t �1 � - ��o �
(Name) �7Sl�t�Ac o M�� (Phone)
(Address) �2') � ST - � ►Z�G �'�' �� ���"7 ?
BUII,DER �' - l
(Company Name) �A�1�V�c ` -JO I�SC1N (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connecnon
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CODE: ❑I.R.C. ❑I.B.C. �vlisc. ��A�L.t� do�r4J �c.ke� f't�t�
Type of Construction: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALLTE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I ve hirnished mformanon on th�s appl�cauon which is to the best of my knowledge true and conect. I also certdy that I am the owner or authonud agent for the
above- honed pr erty an ll const chon will conform [o all exisung state and local laws and w�ll proceed m accordance w�th submitted plans [ am aware that the buildmg
uffic ca revok pei f i t us u ermore I hereby agree that the ciry official or a designee may enter upon the property to perform necded mspec ions
. �� 7i7 I�V
Si a 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 # $
Plumbmg Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Petmit When Approved Paid /V Recei t NO.
� � Date B
c�7-2�—t �
Bu m�, Ufticial Date
This is to certify that the request m the above apphcanon and accompanymg documents �s m accordance with the City Zomng Ordmance and may proceed as requcstcd This document
whcn signed by the Ciry Planner conshtutes a temporary Certificate of Zomng compLance and allows construcnon to commence Before occupancy, a Ceruficau 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
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