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HomeMy WebLinkAboutFence Permit 15-52 FFZ_ PR ro CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANC X AND UTILITY CONNECTION PERMIT I. White File 2. Pink City 3 Yellow Applicant PERMIT NO. (Please type or print and sign at bottom) ADDRESS ZONING(office use) -71 (0j a eco v►n S - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER p p D �, r (Name) �f!R> J J Rat toe (Phone) —� �0 y34�0i (rMA t2 (Address) 1_�t LD ` 11\3J l 'e c�u o - )!y1,-j BUILDER (Company Name) ®1`0 -- ry l f'e (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing [:]Re-Siding El Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection , CODE: ❑I.R.C. ❑I.B.C. &vlisc.'s io " IA l 6 CeJ)w ri CIeu Type of Construction: I H III IV V A B00 Occupancy Group:= A B E F H I M R S U PROJECT COST/VALUE $ �a"-' Division: 1 2 3 4 S (excluding land) I hereby certify that I have furnished information 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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official cap-rew*c this permit for just c Ft rthe ereby agree that the city official or a designee may enter upon the property to perform needed inspecctions- X `>!off''?Ar Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ 171 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 Permit When Approved Paid Receipt No. Date APPBOM Building Building Official Date zo`�in e� - This rs to certify that the request in the above application and accompanying documents is in accordana U01M ity Zoning Ordinance and may proceed as reques a ument when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows const ruch o c e�r��nr y��CernfiJ j6,Occup. cy must be issued. n /` h� ke Ar�•t' \/ctr Plannin ector Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 O�DI Raines Property ; 17161 Sunset Ave .q f ' Parcels +=-- NO Coraerl !_. i Q X -78 } lei E co(-toe✓, , 113' S cd)P Nem c. - aox to - C t-iN, - *70•f.+ L©"1(. - - Cr 0 e u)0y X: to-P+-L cwv / 0 17.5 35 70 _ Feet 05/06/13 , �N LOf (VV'11) 4 m m �F r e, ice. - This document is for reference only. It is neither a legally recorded map nor a survey and is not intended to be used a as one. The drawing is a compilation of records, information, and data from various sources. No representation is made that the features are presented accurately or reflect true �- location. The City of Prior Lake, or any other entity from which the data was obtained, assumes no liability for any errors or omissions herein. If discrepencies are found, please contact the City of Prior Lake.