HomeMy WebLinkAboutFence Permit 13-38 of pRjO� CITY OF PRIOR LAKE :. DING ' .- 1 . IT
TEMPORARY CERTIFICATE • F ZONING CO ' LIANCE • Date Recd
v AND UTILITY CONN I ' , • ■ • / S ��
41 41•E sot'
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I. White File
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2. Pink City PERMIT NO. /2 Or
y.•._•_ ! Tint and Si? at bottom) 3 Yellow Applicant a
ADDRESS i Li1013 _
nn (� C� �'/L S� ZONING (office use)
I" v i`0,- - � ti 553 2
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION YD- //)
O Aik ;
4 (Name) a G !n wr
(Phone) qS 2 -250- v D
(Address)
1 BULLDER
(Company Name)
(Contact Name) (Phone)
(Address) (Phone)
E K ❑ New Construction ❑Deck
❑Addition OPorch ORe- Roofing ORe -Sdin ❑Alteration ❑Utility Connection , g ❑Lower Level Finish ❑Firepla ❑L B.C• �I Ivli 6 ion: I II III IV V A B 11 �� : A B E F M R S U PROCT COST /VA$ I 4 5 excluding land)
I hereby certify that I have furnished informati.n on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above - mentioned grope and that all co ction will conform to all exis
I
official can r • is perm > • just • se Furthermore, I • conform - • and local laws and will proceed in accordance with submitted plans. I am aware that the building
ee that the city official or a designee may enter upon the property to perform needed to pee ions.
' x 1 ∎11�
Signature
.v�tiv
.....—______..— 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 $
Adk Gas Fireplace Permit Fee $ $
TOTAL DUE Il POP
This Applicati t' i t • comes Your Building Permit When Approved
Paid 1 Receipt No.
Date I
�, ■ �, C s � By
But " g O Ictal Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. Y proceed as requested. This document
Planning Director Date
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245 Special Conditions, if any
4646 Dakota Street Prior Lake, MN 55372