HomeMy WebLinkAboutFence Permit 03-29
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CITY OF PRIOR LAKE BUILDING PERMIT, @ Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIAN
AND UTILITY CONNECTION PERMIT
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ADDITION
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OLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection
~MiSC:veNL6-4' ~hc1ln lit'll::- PROJECfCOST/VALUE (exc1udingland) $ I. 000 ~
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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 k" ..t".... ".I' 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 bu'. official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
~tPonther'- .__;:rformnn Jo-q- oY
^1\ ~ Contractor's License No. Date /
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BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
DDeck
o New Construction
I
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
1 Mechanical Permit Fee $
/
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I Gas Fireplace Permit Fee
This Application7COmes our Building Permit When Approved
Building 0 . a1 Date
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(Phone)
(Phone)
DPorch
DR<-Roofing
ORe-Siding
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I ReceiptNo.
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
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.
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I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
I Paid
I Date
Date Special Conditions, if any
24 bour notice for all illl!, '";" ., (952) 447-9850, fax (952) 447'-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
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. APPROVED
PLANNING lJOl' f
Signed~'Dato 101 C;i-Qb
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