HomeMy WebLinkAboutFence Permit 03-26
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIAN
AND UTILITY CONNECTION PERMIT
l. White File
2_ Pink City
3. Yellow Applicant
Date Rec' d
I PERMIT NO. ,)" '! Ill/"
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LEGAL DESCRIPTION (office use only)
, LOT Cc BLOCK 4- ADDITIONCAND Pc IN r
· OWNER
(Name) ~I ""-
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€c;.l'k
P.L.
(Address) ''i .1'11"
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
l!lMisc,~~P _
(Phone)
I:W<-.
(Phone)
(Phone)
o New Construction
ODeck
OPorch
ORe.Roofing
I ZONING(officeu,,)
FUr>
PID?-S-_ :+1 G - Dr:, (>- D
44<') ~ ~ e. "I. I
ORe.Siding
Dutility Connection
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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro to perfo eeded inspections.
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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
OLower 4evel Finish 0 Fireplace OAddition OAlteration
LP tJ~,j;r.1. {~lLPROJECTCOST/VALUE (excIudingland) S
Contractor's License No.
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter SizeS/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
Building Official
Date
#
#
#
#
f- 11-""0 ~
Date
$
$
$
$
$
$
$
$
$
I Receipt No,
By
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
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~;anning ~iret\or--. I ~J...t - ) Date _ Special Conditions, ifany
, ~ 24ll.wn.btiie for all :.... ....:ons (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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SURVEY FOR: R.S .M. Homes Inc.
DISClaIID AS: Lot 6, Block 4, SAND POINT 4TH ADDITION, City of Prior Lake,
Scott County,' Minnesota and reserving easements of record.
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APPROVED
PLANNING U~r 1
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