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4791 Richard Lane - Zoning Permits & PlansPROPERTY S Site Address: i l 7'? l lC / CGLP -t O� LA-41-e CONTACT Name: vL Ki-e d. -lr P Phone: 1 7 et- 11/2 f fts pl -- (! ed— .4 e a v- +e 9 v K4 Y Address: ZG t C 5 - - 0.- , ,-v- e S t/V City /StatelZip: New ilk k -id k f t1 / Applicant Signature: D Date: .L 2.-S ( L_ to U y k k,b y yoLh ©o . ca iii--) � City otEatan Approved: Notes: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5685 Fax: (651) 675 -5694 Email: planninnecitvofeaoan.com p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. ' LANNING Revised Plans Approved: Setbacks, hard surface Yes / No ENGINEERING I Grading, drainage, Approved: Notes: Yes /No RECEIVED MAY 292012 ZONING PERMIT APPLICATION Date of Approval: 5/? Staff: Date of Approval: Date of Approval: Revised Plans Approved: Yes / No Date of Approval: shorel zon Staff: Staff: Staff: For Office Use Permit #: /406/5 Date Received: 1" L � Th0YY'ilL4 Right -+ CALL BEFORE YOU DIG. Cali 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.aooherstateonecall.oro G:1Building InspectionssPERMIT APPLICATIONS1201112011 Permit Applications /iv/ Ma t- / 4/ y,_-26z___) r‘oPriALT & CONCRETE BUY KrX,iJC. Details Yes No Cable ❑ ❑ Drainage Probl ❑ ❑ Electric Wires ❑ Gas Line ❑ Grade Change ❑ 0" Heaving ❑ C7 Overhead Wires❑ Q Phone Wires ❑ Roof Overhang ❑ Saw cut at street❑ ❑ Sprinkler Systerr❑ 1 Tree Limbs ❑ lit Tree Roots ❑ Tree Stumps ❑ Water Shut -off ❑ ❑ u EXCAVATE & BASE $ Cross Street i Prop. Dist DW cap) GR SW SP PT BD WL FT A/C: 5" 3 1/2" 2 1/2" O/L Partial BASE: j 82 B3 84 Other Contact Person Site Address City — ZIP Date Sold Lead # /\ Sideview 4'99/ Lead Source /if ._ /2 f Home Phone Work Phone Cell Phone PERMIT: Y❑ N J Date Applied Map Co-op Salesperson GOPHER. Y ] ND Approval' # Existing 1i7 E/B E • E/© EXTRA TRUCKS lb PG IN /OUT 1 7 tr SAW CUT STEP • REMOVA Little Bo CLAY BARRIEF Custom Work © Seale WHEEL BARRON CUSTOM WORK REPLACE WITH I 4 /C7 3 A/C A/C Pad S • • J • . 1-� ---- b -- S/P on Site : Scheduling Concer V None as Listed SPECIAL INSTRUCTIONS OFFICE CREW Office Use 5 5 5 5 • _ = /5, 4.i/ /;c ✓(:)kr} 44 !/37 AI • rj CUSTOMER TO ADJUST SUR- ROUNDING HEIGHTS TO MATCH FINISHED EDGES AS DISIRED Regarding this installation is everything you wanted in writing? Customer has received Instruction booklet. Customer agrees to pay required permit fees. YES 0 NO If not, Please put it in writing, sign and attach. DO IT RIGHT ...THE FIRST TIME...BUY KNOX Initial