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4198 Blackhawk Rd - Cemetary41,111' CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5685 Fax: (651) 675-5694 Email: planning@citvofeagan.com r For Office Use Permit #: Date Received: 1 2012 ZONING PERMIT APPLICATION V Please submit a set of scaled drawings with the application. PROPERTY Site Address: NT Name: Address: (4198 Blackhaw K 2d. �l e ►� G --as'i C c L. '1•141,— o -f /3/44k J to k 4 1),(•f-F/,c, l2 d W k Gh m -L DL ,' Y1 /S,t, 4 Applicant Signature: Phone: 6 '-/-4/s-4/-0)1! le' City/State/Zip: c Q 4. i 1"f// ,5 /�2 ,:144%-idr Date: met& f a 4— TYPE WORT ❑ Retaining Wall <4 feet 0 Driveway ❑ Patio 0 Sport Court ❑ Sidewalk pUence Description of work:.51-/i !( )/1?'" tt) 0 c A'bther: 04 in 4•1',(4.7 mo if' PLANNING ' 1 C �Y' r i 11t..(-2 lGrt'L_Y` Setbacks, hard surface coverage,_ shoreland zoning, bluff zone/seta Approved: Notes:. / No Date of Approval: 3/Y11 Z /tat �dr,,,e7vjel UQcvltet i2 L,6oc�.<dah-aka`/:, Revised Plans • Lo Approved: Yes / No te�oval: t3'taff: ENGINEERING Grading, drainage,Will easements, wetlands, erosion control; rovements in 3.. -0 Approved: Yes / No Date of Approval: Notes: Staff: Revised Plans Approved: Yes / No Date of Approval: Staff: COMMENTS G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications