HomeMy WebLinkAboutFence Permit 03-03
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ADDRESS
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AND UTILITY CONNECTION PERM!' 11( i ..'.1 J II
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PERMIT NO. O^-~
1. While File
2. Pink City
3. Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT I BLOCK f:r ADDITION be6f<,FI aD
'l:OWNER "-
(Name) ~~CL\ d ::r::.
(Address) _~"}.,t I1S
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ZONING (office use)
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PIDf)5-o70 -C8-7-0
(Phone) 9!;;,;) -dalP - /qq:3
i.~~;R 1o.,KcATL h~.-e- t''? rl'1Vl. Tn I'..- (Phone) J"SI- -Ya3- 3<}CJ..:;-
(Contact Name) +-\t'lV\ m; lle...- (Phone)lQS ,- 77G-lotJq~
(Address) J.e::q~.~ J5,'.s(l(jL1J'le 411f~ ~/1't1I1trl-_--1JJAJ, S6-/i/J2? .
TYPE OF WORK
DDeck
DPorch
DAddition
o New Construction
o Fireplace
ORe-Roofing
DAlteration
~Misc.~
OLower Level Finish
~,^o~c-"t" _.JST:VJiY~ (V-~..A;"g 1...."') $
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 t'.~t'''''~J' and that all construction will conform to all existing state and local laws and will proceed in accordance with
subrmtted plans I am aware rX;e building official can revoke this permit fOT just cause Furthermore, I hereby agree that the city OffiCIal or a designee may
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II" Stgllature Contractor's License No. Date
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
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I
I
I
I
I
I
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 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
#
#
#
#
$
$
$
$
$
$
$
$
$
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 ._...r-......' Certificate of Zoning compliance and allows construction to h._._....:. Before occupancy, a Certificate of Occupancy must be
issued.
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Date Special Conditions, if any
24 hour notice for all t., ,,,-. . (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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CERllF1CA TE Of' SURVEY
for
D.R. HORTON
M32-2855-02
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/"" APPROVED ""'
PLANNING OEPT
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Top curb to Gor slob = _~~9__
TOp block = .:L"Q32
Lowest bsmt fir = !35t..j{g
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cole: 1
17223 Deerfield Drive
- 30'
DESCRIPTION
I hereby certify that this survey, plan, or
report wos prepored by me or under my direct
supervision and thot I om 0 duly Registered
Land Surveyor under the Lows of the State
of Minnesota. -
22-4 ~/
Dote ~pra 1/'102.. - Reg. No. 8140
Lots 1, Block 2,
DEERFIELD
Scott County, Minnesota
Plot bearings shown
o Denotes iron monument
(~isti;;g) (!:opose9
BRANDT ENGINEERING Ie SURVEYING
.
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(952) 435-1966
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