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2070 Quartz Lane - Zoning permit41101'CilyatEaRan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5685 Fax: (651) 675-5694 Email: planninq(aicityofeagan.com For Office Use Permit #: a/ Date Received: L 2012 ZONING PERMIT APPLICATION Identify improvements on a site plan that shows lot lines, structures and existing conditions. p Please submit a set of scaled drawings with the application. Site Address: v Qj f42. Name: Address: 2° 4 4) Ove...-"tL Applicant Signature: ) �-- `i� f �_rw..` Phone: i- Email address: "So t troc. Ly144-GL "05.2 City/State/Zip: -C-4_) vim/ `J 5 / 22 Date: ❑ Retaining Wall <4 feet O Patio O Sidewalk Description of work: r O Driveway ❑ Sport Court 'Fence /AZ -L. 0 Other: Approved: Notes: Date of Approval: iQ (t `�— `/� 2, Staff: zr/,_L. .<JeL .( ,Aloe i 0.„c res�cVCS/kik. -1 6- () v'1'4yg`-(cf f rc+p�.�,.,-t{y %;rc..S fa,'` lam#,ate o- , cJ � �-.ce / Revised Plans Approved: Yes / No Date of Approval: Staff: Approved: Notes: / No Date of Approval: /.140//.2._ Staff:%Iayy, Revised Plans Approved: Yes / No Date of Approval: Staff: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications Apr 09 2012 12:46PM HP LASERJET FAX Date: City of Eapp 3830 Pilot Knob Road Eagan MN 55122 Phone: (851) 675-5675 Fax: (651) 675-5694 EC ,, E APR 092012 p.2 Use BLUE or BLACK ink For Otece Use Permit #: Persil Fee: Date Received: Staff. 2012 RESIDENTIAL BUI DING PERMIT APPLICATION Site Address: 2044Qq..K..rz_) , Name: -T cGfelf tr to i d a RESIQENT/ 20 - -QQ.)441-3-2 (;•-/pWNER -� Address !City / Zip: Applicant is Owner Contractor TYPE OF WORK Description of work: ?E P (ACJ 6)(1 S 1 r -PP -1 t -L FIC? Af Unit #: Phone: CONTRACTOR :. Construction Cost: 3 51) C) S Multi -Family Building: (Yes / No Company: Ly„ J ,z. & -rs Contact JLir, d �1,►�t s.. (es I. Address: 7' Dia" ' r'iL AUc city: .4 r t- U4o�( State: '"IN Zip: S.S. i 8 Phone: 6s 01‘k License #: Lead Certificate #: • If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 1L Water Contractor: Phone: . NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG., Call Gopher State One Cal at (161) 454-0002 for protection against underground utlity damage. Cat 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; That the work wit be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a penrat; that the work will be in accordance with the approved plan in the csse of work which requires a review and approval of piers. rcr crz authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x j40e .r " SCINNelaeir Applicant's Printed Name Apr 09 2012 12:46PM HP LASERJET FAX Cxr at- Zu) 1 cl 11,)4 Se_ --\f‘ le\ ellcie-a., L -61/J6 6)1) Ce*AEOT (0,51 - Vt-G Cti qt -t grAff ge.74, y 1-0-1)36YA4 0\ket, 62,r)C,-42-1J s 4L iblo\ 1/4 stAYczyr‘ re7)14AN: EX1471(OLI (\V c, SoU a Ccw.st%---riot c(0), (4, fe-An /0-3-74/ RECEIVED APR 0 9 2012 fat-tii6 T 61z4f_e- Cazicki- b-004-Ac \z52_ SLS erc• -5.13,„(:1_ts 10 -5‘),s r• Coif\ C -Pc-: 30 -r* -4A 00MA `/(-45 I Coe/v*5\i - \ OS Apr 09 2012 12:46PM HP LASERJET FAX p.3 P)11;id ‹Z 2070 Quartz Lane