HomeMy WebLinkAboutBldg Permit 02-1011
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NO.c:2~_ /0 LL
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ADDITION
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LEGAL DESCRlJ:'uON (office use only)
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TYPE OF WORK ro ,.
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CLOSE FILE
10/28/03 l\t\P
ZONING (office use)
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PIDd-7901-0/3-1
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ORe-Siding
OUtility Connection
I hereby certify thai_ryu\..4uon which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent fOl ___ 1'1vperty and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I a.__ 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 property to perform needed 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
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$
$ /~t75
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
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o Porch
OAddition
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OAlteration
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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.
Planning Director
'replace
COST IV ALUE (excluding land) S
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Park Support Fee
SAC
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Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Size 5/8"; I";
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
I Paid
I Date
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