1354 Berry Ridge Rd - Zoning PermitPLANNING
Setbacks, hard surface coverage, shoreland zoning, bluff zone /setbacks, etc.
. p enied
Notes: q
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pn ,..44'
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Date: -7 3 i // Staff:
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ci�1. art 71'vf �ev`f�/ Lh1e
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Revised Plans
Approved: Yes 1 No Date: Staff:
ENGINEERING
I Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc.
Approved / Denied
Notes:
Date: Staff:
Address: t /15 1 (., •4-c'- --
Revised Plans
Approved. Yes / No Date: Staff:
COMMENTS J
Date: 3r Z
PROPERTY
INFORMATION
Site Address: 139 &3R 1`c ./ e
ICU 5
Owner Name: /lr J'l r c 1 9 a 42
a
CONTACT
Name: ? ' \ r1/4\ l' ( � Zip( C ('\ Id
Phone: 6 a
Address: t /15 1 (., •4-c'- --
City /State /Zip: p I 4I-
r —
Date: 3r Z
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Applicant Signature: Aerftr
Email address: JU!' ! L. t ) /4(/44 C 0
TYPE OF
WORK
1:1 Retaining Wall <4 feel Driveway
❑ Patio ❑ Sport Court
❑ Sidewalk ❑ Frce /
Description of work: �C. ��t l• P Dk 6--Q
❑ Other:
� t rib
/ r ec y 4 7 C
Jul 31 12 08:59a Microsoft
4 CityofIaftan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5685
Fax: (651) 675 -5694 at7.
Email: planninocitvofeaaan.com
6128668078 p.1
For Office Use
lOC3is
Permit #:
I Date Received:
L
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 454.0002 for protection against underground u d amage. C
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
G: \Building Inspections \PERMIT APPLICATIONS'0011\20 Permit Applications
Jul 31 12 09:OOa Microsoft
ESTIMATE By: \Z-( •
Date:
(h)
(c) / z 578 753
(w)
(f /e) PAI -Otn C 1,4 r -Q. A C omcA s , -
Name: �/ 2 ,4 0/9 r--
Address: `3 5L 1 r r"� t�-► Y C
City: � S 5 -z
Permit • No
❑ Remove Asphalt Drive (Extra charge if over 4 ")
❑ Remove Concrete (Extra charge if over 4 ")
❑ Apron removal 2 car 3 car
❑ Cap Blocks (Does not incl. foundation work)
O Remove Gravel, Dirt or Sod
❑ Base, after compaction
iii existing base and tee 11° �1`° �l
O Regrade for proper drainage
❑ Hot Mix Asphalt compacted to
c4Addition to drivel,
❑ Concrete, see concrete form
O Approximate Square feet /e"
a '7i Yr. Warranty
Options:
O Fabric Installation
❑ Permlock LF
Customer Initial
Estimated Cost:
Down
Balance
X
In - v
Customer Approval Date
I have read and agree with the terms and conditions on the
reverse side.
SIGN AND RETURN WHITE COPY
1 2 3 4 5
Licensed • Bonded • Insured
#(,5(,3o q7'o
7-71
L ` � 7
• 7
B
P
Replace as is
Flares
Stumps /Roots
Water shut off
New Cover
Drainage Problem
Heaving
Cross Street
❑ Design qi
1 1
r "
Line?
6128668078
RICHFIELD
BLACKTOP
7745 2nd Avenue S.
Richfield, MN 55423
Ph: 612 - 866 -8836 • Fax: 612 -866 -8078
www.richfieldblacktop.com
parate copy
rndJ� col ly
•
•
•
•
3o 0 f 4
'0
❑ Ok to use Bobcat
in yard. Customer
repsonsible for any
yard /landscaping
repair.
Sign
p.2
i
0.)
Circle One