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HomeMy WebLinkAboutFence Permit (Gate) 11-0001 o � PR/p� CITY OF PRIOR LAKE BU ING PE IT, Date Rec'd ,� 3N ; ;, � TEMPORARY CERTIFICATE ZONING C PLIANCE 3 Zg G I � �X AND UTILITY CONN MIT � � � ""'���5<���� � Wn��e ����e pERMIT NO. �� (�OO � ���� c��� ; v�u���- ,��pr�T�,� ease e o 'nt and si n at bottom) ADDRESS /� /)� � � ����� O � `C ,, , . ZONING <<,re��< <�5�� v � �I./ LEGAL DESCRIPTION (oflice use only) LOT BLOCK ADDITION PID (Name) ����� V (Phone) � �� � �'' � _ S 76 L-- (Address) i BUILDER (Company Name) (Phone) � (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lo�ver Level Finish ❑ Pircplacc ❑Addi6on ❑Alteration ❑Utiliry Connect�on CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. __ _ ____ ------ Type of Consmiction: I II III IV V A B pROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U � Division: 1 2 3 4 5 (excluding land) I � 1 hcrcby ccrtity that 1 havc hirnishcd mfnrmation un this applicarion which is to thc bcst of my knuwlcdgc truc and cu�TCCt. 1 �lsu ccrnry that I am thc uwncr ur authunzcd agcnt ti>r thc � abovo-mennoned pruperry and that nll cunstructiun will confi�rm to all existing state and local laws and will procecd in accordance widi submuted plans I am aware that the buildmg � ufficial can rcvuke this permu ti�r�usr cause Furthcrmorc, I hereby agree that tlie c�ry official or n dcsignce may enter upun the prope�ry tu perform necdcd mspccuons- � X -- Signature Contractor's License No. I)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 Pennit Fee �$ Other $ Gas Fireplace Permit Fee $ ' TOTAL DUE $ This Applicat' o es Your Building Permit When Approved Pald ReC�i t NO. 3, Zb , // �ate s ui duis O��ilcial ��ate This is to �rtify that thc rcqucst in the abovc applicauoi� and accompanymg documcnts is in accordancc with thc City Zuning Ordinancc and may prucccd as rcqucstcd. This ducumcnt when .eigned by the Ciry Plnnner cunsntute+ a temporary Certificate uf Zonmg cumpliance and alluws cunstruction to cummence. Befure uccupancy, a Ceruticate uf Occupancy must bc issucd Planning Director Dute Special Conditions, if any 2d hour noticc for ali inspcctinns (952) �147-98511, f:�x (9S2) �1-t7-�23i 4646 Dakota Street Prior Lake, MN 55372 ` . � �� �. � .... i ..�.�. -�, • ' Of - .`\ ' j a � O� : i : ..�^ i �� � Z%ir�-,— � --�� Y --r- 90�) ��, � `� � �>c ,�� ; � � °.9 > V , � � � �� '; �� ��r�� �� A R AGE SLA T `•� 4J a y,� ,.q � � �. `? ' � ;f °j EL=926.9< � ` �n _ ` �i ��` � i 1--_ - � . �. � e � - ;.r . � p .\ ---- -. - ---- � . . . '�� ��� ��J��' "' / l�.�s 1 1 O �, : d 1 � u � . �__ _.._._? �'` � T � .3-____ro_ � � � j p . 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