HomeMy WebLinkAboutZoning Permit (fence) 10-0020 oF PRlp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, :r � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' �x' ' X AND UTILITY CONNECTION PERMIT D 6����
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M��'NESO�P � Wh��e Fde pERMIT NO.
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3 Yellow Applicant
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ADDR�SS � � � � �� ZONING (otnce use)
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LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER /_ Q
(Name) � ��55 �1 �C��Y�e.� '� (Phone) �(J �Z � U / '" ZZZi�
(Address) (p�j � � �[l/'t� �'����W
i BUILDER �"� � Q� _ -�( ) ��
(Company Name) C /( (Phone) �� �
(Contact Name) '� (Phone) �41Z `"� � � �l�{
(Address) � �p (.�� G✓� y� ��
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addinon ❑Alteration ❑Utility Connection — � �
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CODE: ❑I.R.C. ❑I.B.C. ❑ Misc ,
Type of Construction: I II III N V A B pROJECT COST/VALUE $ �� �� �
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby cernfy that I have hirmshed mformation on th�s apphcahon which is ro the best of my knowledge tn�e and correct I also ceiLfy that 1 am the owner or authorized agent far the
I above-menuoned pr erty and that a o struchon w�ll conform ro all exutmg state and local laws and will proceed m accordance w�th submitted plans I am aware that the buildmg
� ut7"icial can revoke �s perm�t for � ca e Furthermore, I hereby agree that the c�ty official or a designee may enter upon the property to perform necded mspect�ons
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Signature Contractor's L�cense No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechamcal Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid ReCel t NO.
� ` �� Date B
°� ��i —0 �'((�
uildme Ufticial Date
This �s to cerhfy that the request m the above appLcahon and accompanymg documents is m accordance with the City Zonmg Ordinance and may proceed as requcstcd Th�s document
when signed by the Gty Planner consututes a temporary Cerhficate of Zonmg compliance and allows consffuchon to commence Befure occupanty, a Ccit�ficate of Occupancy must be
�ssued
Planning Director Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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