HomeMy WebLinkAboutZoning Permit 06-0001
Date Rec' d
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PERMIT NO. 0'7, 000/ l
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
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LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ADDITION (..V~~ Ch~ &rA-
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PID "25"-2
OWNER
(Name)
-:J;;:~,..,) R. ,'" t; ~
SITMer
ZONING (office use)
(2-
(Phone)
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh
OAddition OAlteration o Utility Connection V1, ~ h
CODE: DI.R.C. DI.B.c. CU'liSC ~
Type ofConstrnction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F HIM R S U (excluding land)
Division: 1 2 3 4 5
o Fireplace
I hereby certifY lhat I have h.rmshed informatIOn on this applicatIOn which is to the best of my knowledge true and correct. I also certifY lhat I am the owner or authOrIzed agent for the
above-menl1oned property and thaI all construction will conform to all eXISting statc and local laws and will procced In accordance with submitted plans. I am aware lhat the building
otlicial can revoke thi - r Just cause Furth re, I hereby agree that the CIty official or a designee may enter upon the proper1y to perform needed inspections
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Contractor's License No.
Park Support Fee
SAC
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
#
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Paid
Date
Date
$
$
$
$
$
$
$
$
$
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 Tim document
when signed by the CIty Planner ClJnstltutes a temporary Certificate of Zoning compliance and allows ClJnstrucl10n to commence. Before occupancy, a Certllicate Df Occupancy must be
isslled
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9!l50, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Scott County
Page 1 of 1
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
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http://www.co.scott.mn.us/scgis -path/ims?ServiceN ame=overview &Client V ersion=4. O&F orm=Tr... 3/22/2006