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HomeMy WebLinkAboutZoning Permit (fence) 10-0041 oF PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� - :.. � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � � � AND UTILITY CONNECTION PERMIT U � ���'NESD�P 2 I'iok C�ty PERMIT NO . /�,.� L /� 3 Yellow Applicanl � Please e or rint and si at bottom ADDRESS ZONING (ott'ice use) �� �J S'�!`i r! �.a�° �G� l�'-� LEGAL DESCRIPTION (of(ice use only) LOT BLOCK ADDITION PID 25� 133 � I OWNER /l *7 �/'c (Name) `�C d-- ,� � � (Phone) SO �'G'��(�� �`��d Z � (Address) 2 , r ` � BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg ❑Lower Level Fmish ❑ Fireplace ❑Add�tion ❑Alterat�on ❑Unhry Connection CODE: ❑I.R.C. ❑I.B.C. /�Misc. �toi?G'� !-$c`c el'7�L��C�� Type of Construction: I II III IV V A B PROJECT COST/VALLTE $ Occupancy Group: A B E F H I M R S U � Division: 1 2 3 4 5 (excluding land) I her�by certity that I have hirnished mformat�on on this apphcanon wh�ch is to the best of my knowledge true and correct I also cerufy that I am the owner or author�zcd agent for the �bove-menuoned pro rty and that all nstruc will conform ro all exishng state and local laws and w�ll proceed m accordance wrth submrtted plans. I am aware that the buildmg ufficial can rev t r� aus ithermore, I hereby agee that the city official or a designee may enter upon the property ro perform necded mspections I X � Z � �0 igna Contractor's License No. ate 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 DUE $ This Application Becomes Your Building Perntit When Approved Paid Recei t No. r ,'; / �� `,---"""".�---- �— / Z 3/U Date B .JG '� Buildm�, Utticial Date This is to certify that the request m the above appLcat�on and accompanymg documents �s m accordance with the City Zomng Ordmance and may proceed as requcsted Th�s document when signed by the Gry Planner constrtutes a temporary Certificate of Zomng comphance and allows construcnon ro commence Before occupancy, a Certificatc of Occupancy must be issued " -�° � �Z 3�/ v Ke�f J��n �P or► /ou� � r�Plr �'./�.,s.a � --- � D I? �L/ . 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