HomeMy WebLinkAboutFence Permit 03-31
'1" :.
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERlHT,
TEMPORARY CERTIFICATE OF ZONING CO~PLIANCE
AND UTILITY CONNECTION PERM!' ,
crlease ~ or orint and sil!Jl at bottom)
\i ADDRESS
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1_ White File I PERMIT NO
2, Pi., G.y . 0-;;,- r.\
3. Yellow Applicant J ~ J
A:{6 W
I ZOR~I (officeu,,)
LEGAL DESCRIPTION (office use only) " D '
LOT4-BLOCK (() ADDITION VVOOt;R-I:t::;6-b E3iS~2.N PID ~-d14--~-()
i DLower Level Finish 0 Fireplace DAddition DAlferation
~iSC, 51\t~'J! ~~ PROJECTCOSTfYALUE (exc1udingland) $
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I hereby certify that I aye furnished information on this application which is to the best of my knowledge true!d correct. I also certify that I am the owner or
authorized agent for the above-mentioned Y'''Y-'~J and that all construction will conform to all existing state an 10ca1laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I he ;by agree that the city official or a designee may
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'f{ r' ~'~;. Signature Contractor's License No,
"fOWNER ,
i\Name)~
(Address)
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\ 7d-J~ "\\>(f1Y\<-\o
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AK,
Y, BUILDER
(Namp)
(Contact Name)
(r)t\J \)i,.J 4- ~.
'S.,,'-. j>~
(Address)
TYPE OF WORK
D New Construction
/'
$ /
$/
Y
1 Penalty / $
1 Plumbing Permit F~e $
I Mechanical Permit Fee $
1 Sewer & WaterPe 'Fee $
1 Gas Fireplac7it Fee $
This ition Becomes Your Building Permit When Approved
1 Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Building Official
Date
(Photie)
(),,'fH 4k
~Q-'i'lr 4/Jb
(Phone)
(Phol1e)
q~)-l{Ol- Og-tK
DDeck
DPorch
DR~-Roofing
ORe-Siding
DUtility Connection
11-(,-01
Date .#
./
V
/-$
/$
/ $
./ # $
,
I WaterTowerFee ./ # $
'I Builder's Deposit / $
lather / $
I TOTAL7 $
I Paid/ I ReceiPt No,
I Date Bv
Park Support Fee
#
#
SAC
Water Meter Size 5/8"; l"i
I Pressure Reducer
1 City SAC and WAC
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning otdinance and may proceed as requested. This doo.nnent
when s' ed by the . Plinner consti tes a temporary Certificate of Zoning compliance and allows construction to commencei Before occupancy, a Certificate of Occupancy must be
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, '- ~~ v Special Conditions, if any ~).~.-r. ~
24 hour notice for all ill8pectioll8 (952) 447-9850, fax (952) 447f4245 ~ 't "0 I ~~
l6200EagleCreekAvenue PriorLake.MN55372 Lf><D(:>.Lr'hcj- wv... A "N-\
,
~
,321.00
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