4566 Hay Lake Rd S - Zoning Permit44!! City ofaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: planningc(acitvofeagan.com
For Office Use
Permit #:
/c$�37
ZONING PERMIT APPLICATION
ppi,a
Please identify improvements on a scaled site plan drawing that shows lot lines, structures
nd existing conditions.
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PROPERTY
INFORMATION
Site Address: `T� S L��C�g-C...)
rM (i 12e
Owner Name:
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CONTACT
Name:
/Yl 12Reelz Phone: (Oo O` cc -a. --.x,
Illr
1� ,_
ricer
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L City/State/Zip: g(` _ ` V nn
Address: "�,
Applicant Signature:
Date: -9:7- l
Email address:
/` l (e-14C-Ld j7e (J 1/J
TYPE OF
WORK
0 Retaining Wall <4 feet
0 Patio
0 Sidewalk
Description of work:
" .Driveway
0 Sport Court
0 Fence
0 Other:
PLANNING
Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc.
Approved 7Denied
ote—N— s: Yvw-X u
,�7,t✓4-c-( l Owje.sD
1`Y\aC as /.
Date: 77 -Via Staff:
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c ✓, obreveswi ctiKI;
-k ilk. 1;‘iems.i'5 '47) =l`) •Lr5 %. a, 3,QsIRevised
Plans �In4:1;-C.
gibe 'E Ytdt trkr-lud,. yovt—
Approved: Yes / No Date: by OODtM�/OW aff: S I ( �t.�c aS4-- °- sen_ ct_{ Lull
ENGINEERING
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc.
Approved / Denied
Notes:
Date: Staff:
Revised Plans
Approved: Yes / No Date: Staff:
COMMENTS
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
5uvt
48 hours before you intend to dig to receive locates of underground utilities. www.cooherstateonecall.orq
G:\Building Inspections\PERMIT APPLICATIONS \2011\2011 Permit Applications
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I hereby certify that this survey was prepared.'.�byme'or •
under my direct supervision and that 1 am :a 'duly: • R.egistered
Land . Surveyor under the ,laws of the State of Minnepota.
Date a ;epir,.(4
Le oy H. ahlen.`' ..
Registered Land, S urveyor •- io.: °"i.g795
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