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.
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Applicant Signature:
Phone:
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City/State/Zip: c Q 4. i 1"f//
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,: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
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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