HomeMy WebLinkAboutFence Permit 03-27
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CITY OF PRIOR LAKE BUILDING PE~IT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLI~:J)
AND UTILITY CONNECTION PERMIT C7
I. Wh;" FiI, I PERMIT NO. rn _ J.,,7
2. Pink City L/":::)""- 0-
3. Yellow Applicant
q'lease ~ or urint and SilUl at bottom)
ADDRESS
llo(,;~g hfI"N k\; >'\ T,';, \
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION 'BkfP tte:-'j \.~ A A.J.:d.; oN'
~':e~\3\",f+ fte.,~\-.+s
(Address) 52..12.... +tofe...
BUILDER \ ,~---;--... t? -
(Name) 3ftl'VrE' 5 " AsstJc'....'e..s j,/'<.V. U). J.:1'I.c..
(Contact Name) \:3',11 cJ Gl.f"'\<'"
(Address) \ 251 ?~ '5+. N.
I ZO~~~~o) I
PID 25-DI<1-00 1- 0
A-;....~-T-s. CM.'A--I ~f' (Phone) Cf52- 8'1LI-(.Ho'C
~n~e.T 7,..; Dr L~, Mil! 5~>7 z.....
(phone) '32-0 - '2..5z.... z~z..8
(Phone) "32-0 -?S' 2- z..~l.-g
SIo~11
St'tlA\<. ~"f ~,).5. M 11/
TYPE OF WORK
o New Construction
ODed
OPorch
OR,.Roofing
ORe-Siding
OLower Level Finish
t(Misc. G~- b 'vi>'),"'" c.~
~C(I~ 111,\,",
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 ag t for the aboveMmentioned property and that all construction will conform to all existing state and loca1laws and will proceed in accordance with
submitt . I am aware e . g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u 1"~"'I"....~~j to perfo needed' spections.
o Fireplace OAddition OAlleration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ 2)1"1 t. 2..0
x
Bc.-2-03 '-/2. 3 33
--
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Contractor's License No.
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter SizeS/8"'I'"
. .
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
. lbis Application Becomes Your Building Permit When Approved
I Paid
I Date
Building Official
Date
#
#
#
#
8-1~-o3
Date
$
$
$
$
$
$
$
$
$
I ReceilltNo.
Bv
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
;;::d:<d ~ th~~i'::dc:r constiture.. -par"" C<l1ificare of Zoning complian~ and allows construction to commenco. Bd'ore occupancy. a Cc:rtific.re of Occupancy must be
,~~ Qy ~~,O~ Special Conditions, if any
v 24 bOUI" notice for all inspections (952) 447-9850, fax (952) 447+4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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APPROVED
PLANNING DEPT
(I~ Date 'f3 '~.Ci::>
Signed:.:-~ . .,~
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