HomeMy WebLinkAboutFence Permit 07-0002
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PERMIT NO. D? -() '-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please type or print and siJ!:n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name) -E Y'<\'('\\o...~~J
(Address) Sa..'f'NL
~ Y\ UK + 4 Itnj tli()C{
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(Phone) crSd- 4-t.f1 d-8c.JPJ
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BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch DRe,Roofing
DAddition DAlteration o Utility Connection
DRe,Siding
Date Rec' d
ZONING (office use)
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DLower Level Finish 0 Fireplace
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CODE: !.R.C. DI.B.C. o Mise.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
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I hereby certify that I have furnished mformation on this application which IS to the hest of my knowledge true and COITcct I also certify that I am the owner or authOrIzed agent for the
ah,)vc,mentl()ned pI' X'r!;i.and that all CllnstrUCtlon wlI onform to all eXistIng state and local laws and Will proceed In accordance with suhmltted plans I am aware that the hlllldmg
~'iCT revoke s p'crmlt It)r Ill. a Ise F rtherm ' . I herehy agree that the City offiCial or a deSignee may enter upon the propelty to perf(Jrm n~e~a;C~(lO 7
Contractor's License No, Dilte
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
TOT AL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
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
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
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Receipt No.
By
lluildl11g Urlicial
C3 "')0/07
Dale I
Paid
Date
$ I
$ I
I
$ I
$ n/I
; (j9.~
I~~O
1$
$
This" to ccrtlly that the request 111 the ahove applicatHln and acwmpanYlOg documents is 10 accordance With the City Zoning Ordmance and may pmcecd ,1S requested TIllS document
when signed by the City Planner constltutes a temporary CertlflCate of Zomng comphancc and allnws CllnstrllctlOl1 to commence Before occupancy, ,1 CertifIcate uf Occupancy must be
i,"iSlH,'d
Planning Director
Date
24 hOUf notice fOf all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
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