HomeMy WebLinkAboutFence Permit 08-0013 (voided)
CITY OF PRIOR LAKE BU~RMIT,
TEMPORARY CERTIFICATE OF ONING OMPLIANCE
AND UTILITY CONNEC ~ RMIT
Date Rec'd
I White
Pink
Yellm>'i
file
City
Applicant
r5N(!E
PERMIT NO. DB .-./~-:s
(Please trlle or print and sign at bottom)
ADDRESS
3&32-
WILLOW 86ff(!rf
01 - sW'
ZONING (offIce use)
/2/5D
K..lP'Rel HN'
LEGAL DESCRIPTION (office use only)
LOT I BLOCK / ADDITION
WII-l-Of;V5
Iff AD.oN.
PID?~ 10 fi). 010. (.)
OWNER
(Name) IYlo....-cS kll
H" ~ €..\(\ son
(Phone) q S :J- - J-{ i-f l- 4 7 q (j
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Yl tJwes +
r:-ev~e=
(Phone) 625 1- ~51- :;2;;)';;L I
(Phone)
TYPE OF WORK 0 New Construction ODe k OPorch Ze-Roofing 0 -Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration O,UtiJitYCOnnectlC:1 VMiSC.-E&N.1 tE /-7\JrY:) '-I /-te!lf-/ f(c.ke:1-
CODE: DI.R.c. DI.B.c. ;/ 1\. ~
Type of Constfilction: I 1\ IV \ A B ROJECT COST IV ALUE $
Occupancy Group: A BEl R U ~
Division: 2 3 4 5 (excluding land)
'/ .
Sewer & Water Permit Fee I $
Gas Fireplace pernyt Fee l $
Trotwt;" YOU<B"ild=:5;{t~d
. ~ IltYildll~11 ") I Dati
- "../
I hereby certity that I havc tllTOlshed mtormat
dbovc-menlloned property and that all constl
ofllClal can;i::>~ermll ttn Just cause
X /-' I -iA' I
s/:J..ltJ8
Date
$
$
$
Sewer/Water ConnectIOn Fee
#
$
$
$
$
$
I Permit Valuation
\ Permit Fee
\ Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
TOTAL DUE
# $
$
$
$
.I
flJ
Water Tower Fee
Builder's Deposit
Other
Paid
Date
Receipt No.
By
ThiS document
ccupancy must bc
ThiS IS to certify that the request in the above applicatwn and accompanymg documents is 1I1 ac
when signed hy the City Planner constitutes a temporary Certificate of Zot1mg compliance and a
isslled
Planning Director
Date
24 hOllr notice for all inspcctiolls (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any