4196 Topaz Dr - Zoning Permits & Plans401' City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5685
Fax: (651) 675 -5694
Email: planninqcityofeaqan.com
ZONING PERMIT APPLICATION
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For Office Use
Permit #:
Date Received:
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address: 4 4 /61(40 ) ° /9q2 UV/
Name:
Applicant Signature:
Email address:
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Address: / /J t o TO f f'z D l" Ep -r/
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Phone: 1167 'V5c3— 6 y6.
City /State /Zip: /'✓ I.5 I a
Date: 5-- ! —
❑ Retaining Wall <4 feet
❑ Patio
❑ Sidewalk
Description of work:
Or Driveway
❑ Sport Court
❑ Fence
❑ Other:
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Approved:
Notes:
Date of Approval: - 4 ` 1 .. ,1--
Staff:
Revised Plans
Approved:
Yes /No
Date of Approval:
Staff:
ENGINEER!
rat ge tr I as; en s etla LLds erosion co
Approved:
Notes:
Cov` - ._t
No Date of Approval: 5 /2
CO5I - L.1 - GLito
Staff: 4 .
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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.qopherstateonecall.orq
G: \Building Inspections \PERMIT APPLICATIONS \2011\2011 Permit Applications
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