2037 Bluestone Lane - Zoning Permit & PlansPROPERTY
Site Address: 2037
/
e. L4M C_
.8/we S o ki
CONTACT
Name: . e Y u
17 y Kfrox Phone: & [`2' 78 —!'/ /z
!g na t d- e it� e
Address: ZC / C 51 A 0
City /State/Zip: Ne tt trt kviii YI 9
Applicant Signature:
01„..&//k_ Ike Date: 4 Z s- //
Email address:
to vy kno )C 0 )f a- liLt7U . cs25
TYPE OF
WORK
0 Retaining Wall <4 feet Driveway
0 Patio 0 Sport Court
0 Sidewalk 0 Fence
Description of work: r-e V e -4 v e p �
0 Other:
d - v t vt infest �
]
.
1
City of Eaau
Pilot 3830 Road
Eagan MN 55122
Phone: (651) 675 -5685 ®1%1'1
Fax: (651) 675 -5694 AQR 3
Email: planninailcitvofeagan.com
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PLANNING `; Setbacks, hard su tl
Approved: '‘ / No Date of Approval:
Notes:
Revised Plans
Approved:
ENGINEERING
Yes / No
Approved: Yes / No Date of Approval:
Notes:
COMMENTS
ZONING PERMIT APPLICATION
Staff:
Revised Plans
Approved: Yes / No Date of Approval: Staff:
For Office Use
Per #: foe-lo3
Date Received:
(� J
Date of Approval: Staff:
Grading, drainage,
ay, etc.
CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.aooherstateonecali.orq
G:1Building Inspections\PERMIT APPLICATIONS1201112011 Permit Applications
/t93
ASPHALT &CONCRETE BUY KNOX, INC
Site 2 3" 1 i5ue St-01J' {Na
Details Yes No
Cable ❑ Q
Drainage Probl. ❑ G3
Electric Wires ❑
Gas Line ❑ 0
Grade Change ❑ IZI
Heaving ❑ 0
Overhead Wires RI
Phone Wires ❑
Roof Overhang ❑ 0
Saw cut at street❑
Sprinkler SystenD 0
Tree Limbs ❑ 0
Tree Roots 0121
Tree Stumps ❑
ater Shut -off ❑ 0
Cross Street
4 ' 6 Prop.Dist.
AP G
NC: 5"
BASE: 81
W SP PT BD WI_ FT
21/2" O/L Partial
B3 84 Other
City
ZIP
S
Date d
;
e ic
PERMIT: YON ❑
Date Applied:
Sideview
Lead Source
SI L i
Horne Phone
2- - �z- — 0191
Work Phone
CeII Phone
Map Co-op
5A �1s
Approval: #
Salesperson
GOPHER: Y❑ No
___M_ Existing
New
3 you wanted in writing? Customer has received Instruction booklet. Customer agrees to pay required permit fees.
attach. DO IT RIGHT ...THE FIRST TIME...BUY KNOX
Office Use
S/P on Site
Scheduling Concerns:
None as Listed
SPECIAL INSTRUCTIONS
OFFICE
CREW
CUSTOMER TO ADJUST SUR-
ROUNDING HEIGHTS TO MATCH
FINISHED EDGES AS DISIRED
YES ID
Initi.;