1437 Balsam St - Zoning PermitJun. 18. 2012 9:51AM CONCORDIA UNIVERSITY
*City otEke
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675.5685
Fax: (651) 6764694
Email: plannlnaLcltvofeaaan.com
No. 1528 P. 2
For Office Use
Permit 1:
Data Received:
L
ZONING PERMIT APPLICATION
❑ Please Identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
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O Retaining Wall <4 feet )(Driveway
o Patio 0 Sport Court
0 Sidewalk 0 Fence
Des Lion of work:
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Site Address: /y3. .*e0 -1 'aa 1)41,1 6/5121- 12 -'
Name: Roli rt C. [aria 6 l /r'L co lc Phone: (0 S
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Address: 1q3 C3 a /5C�i►'1'1 $r2e;7 City /State/Zip: `C� h / � /.z
Applicant Signature: /f • Date: / (Q / 2.0
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Email address:
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.aooherstateonecall.orq
G:1l3ullding Inspections \PERMIT APPLICATIONS\201112011 Permit Applications
Jun. 18. 2012 9:51AM CONCORDIA UNIVERSITY
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