HomeMy WebLinkAboutFence Permit 03-06
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CITY OF PRIOR LAKE BUILDING PERM,i],i~ I~i . .....
TEMPORARY CERTIFICATE OF ZONING coMPLIANCE
AND UTILITY CONNECTION PERMiT . II 3m
LEGAL DESCRIPTION (ollice use only)
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PERMIT NO.
Please e or tint and si at bottom
ADDRESS
~ () c.ARbJ t-..LAL 1-</ D6t TR'AI G
7hv,
(Address)
~~~R 5~
(Contact Name)
(Address)
TYPE OF WORK
Misc. f(:3N. tE
ZONING (office use)
Pl./D
ADDITION ~1"-.l4L. ~1Db-G I s.T'
PID ~~4 -Ol'l-C)
"t(U>
MeA-~H'+--'
~1t.4fN ,e:
...-.-
/oIf...'
(Phone)
(Phone)
DPorch
DRe.Rnofing
DAlleration
DRe.Siding
P New Co'nstruction
DLower Level Finish
DDeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
(000 -
DAddition
DUtiIity Connection
I hereby ~ that I have furnished ~nformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorizect 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..3/kper!y to Perf~d inspections . _ dw.
A._ .Ih../_ ,.llvJtM S,/tj,Q3
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
""
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water PetIlilit
Gas Fireplace Pe . Fee
This App. tion Becomes Your Building Pennit When Approved
Building Ollicial
Dale
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
,
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 'tutes a temporary , te of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued.
5.15DQ
Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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