HomeMy WebLinkAboutFence Permit 15-42 FR-
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y. CITY OF PRIOR LAKE BL I LDING PER-IMIT, Laatt= Ree'ti
Y' TEMPORARY CERTIFICATE OF ZON.
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+ AND UTILITY CONNECTION PERMIT
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LEGALDESCRIPTION(u(ficsuseonly} `� } -„I, tv't t; ( ar1� r, Cs et k
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BUILDER (� -
(Name-)�.. I P`Zc C (Ph } f d f 5r
(Contact Name) a �. t%j:S O (I'h�irle)
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TYPR OF WORKp wetvCoon3cruttion El Deck OParch ORe-Rcnfing OReSidirig
i L]Lower L.evcl Finish ®Fireplace []Addition (]Alteration
11 pUulitYConncitian
yiiae. n c tt_ ` + PROJEC17 COST/VALUE (excluding land) .3
I hereby cert f_v that I have tumished infarnatitm ca this apptisation which,.,;ro Elie bust of try Imowledge true and eagrte, I also ccr;dPi tttat f am thr owner or
atahonzed agent for the above-mentioned propercy and that all,construction will conform to all exisring state and local laws and will proceed in accordance with
submitted plans I am aware that the building official can revoke this Frrmir for just cause. Fu-thermore,I heron-•agree that the city official or a designee may
b rn:e,upor,the prcpert;✓to perfonm neeslcd inspeetiorss '
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Signature --- Cnntractoes License No, Date 1
ertmValuation Park Supp-:rt Fee � � -
i-mit Fee S SAC S
Plan Cheek FeeS Water Meter Siz !$";l",
vace Surcharge Pressure Reducer
Penalty -- City SAC`.r,cd WAG #
l'lumbirig Permit Fec ',Vater Tower-Fee !t �
Mechanical Permit eS
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-- 1}utlzlcr 9�L`�7o5;.
Sewer£t;t7vatcr Pernut Fee S — Other
C) Gas Fireplace Permit Fee S TOTAL DUF
This Applicewn Becomes Your Ettilding Permit When Apfir0-ye Regi 3t N4.
Date $
utldigg Ctffi ial - Date g�
--cern}•ttt!t the rcs�i�sst ih t^e alive a�„vll€�iii�n std ucomp;;tiY',riR sli?cutr rt3 u ice;�e:rrfr 'c'Ci�;Zoatir.��:ct;n,trer:.ic!rrs>i�rc�eed as re�trs*ed. Tits ctcrtr..cn;
v. t,.. by the t ity Pl un t a;e�slpi7r4ry t ort hcate os Zsoiny toerFiiar=e nd all s•ucit_n to c<inatisncc, WC-Ie Occupancy,a Cezifir t-or Cl-'n+pa cy mist Sc t
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hianntn�Dir�4i4�r l>,ile Sp;;€sal[.ontftfions,ttany -
�4 hour notice for all lnspectiutu(9S2} l t7=9850.fllx tti5?} #9 245 --
I62CO Eagle Creek Avenue Prior Lahr,NIN 55?72
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CER11FICATE OF' SURVEYK95-19-14'
for '
16692 Markley Lake Dri e, 34at7Cl Homes
Prot 12,220 ag-ft,
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BENCHMARK
Ta{L' 923.12
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APPROVED
ilk = 30' 6ulld,n data_
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QESCRItATdI t�dote
I hareby sa#fiy that this survey, plan, or at 3, 8106 .2,
r_pdrt arcs prepared by mc.or under n1y direct =o,t;LE
3uparvslon ark t of I aro a duly Lfcense� ounty# E'STAT S
Larry Sc rvs br Lnder the L_uws of the atatr Soft Cuu ty� k iFrne�p e
of tF^ �b-
MatEra*-Inas ohrawn
oy H. Brandt erctes iron mo-"r mfr-k sat, Or See Mote.
— ircn rrcr„rmer.t found
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BRANDT ENGINEERING SURVEYING, LLC
1713 Southcross Drive !Most `It
urnsV'He, MN 55306
(952) 435-1966
K9 9-14