1297 Berry Ridge Rd - Zoning Permits & PlansPLANNING
Setbacks, hard surface coverage, shoreland zoning, bluff zone /setbacks, etc.
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Owner Name: t" „ `r C I C\ C C I 1 e 1, e- C C (--)
Date:
• Staff:
Approved / enied
I '
Notes:
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Revised Plans
Approved: Yes/ No Date:
Staff:
ENGINEERING
Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc.
Approved / Denied Date:
Notes:
Staff:
Revised Plans
Approved: Yes / No Date:
Staff:
COMMENTS
PROPERTY
INFORMATION
Site Address: a / cl 7 aRI k), ,,) Pc)
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Owner Name: t" „ `r C I C\ C C I 1 e 1, e- C C (--)
CONTACT
Name:
. Lhr +-ei t) B/ c K7i Phone: 6 l� — b
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111111
Address: 771/ ) . City /StateiZip: R.ci, , e L) C, !d.
Applicant Signature:
Email address:
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I Date: J
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TYPE OF
WORK
0 Retaining Wall
0 Patio
❑ Sidewalk
Description of work:
<4 feet Driveway ❑ Other:
❑ Sp Court
p M� ❑ Fence \ , •` '
f\�/ l due e 5 K » 1 q6
11 City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5685
Fax: (651) 675 -5694
Email: planninq(5 cityofeagan.com
RECEIVED AUG 0 2 2012
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For Office Use
Permit #:
Date Received:
ibclen
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
GALL 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.gopherstateonecall.orq
G:18uilding InspectionstPERMIT APPLICATIONS 1201112011 Permit Applications
BBB — The Twin Cities Paver of Choice
ESTIMATE By: RIM 45 c i c -
Date:
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(w)
(f /e)
Name: Ti`crix=a c...e\ Q.o.% -/■
Address: ��-t 1 �jo� Lam {
City: j FIN Co
ermit Yes / No
Remove As alt Drive (Extra charge if over 4")
O Remove Concrete (Extra charge if over 4 ")
• Apron removal 2 car 3 car
❑ Cap Blocks (Does not incl. foundation work)
❑iRemoye Gravel, Dirt or Sod
V -6` f-6` Base, after compaction
O Your existing base and ours
O Regrade for proper drainage �(
• 1 j Hot Mix Asphalt compacted to �--
❑ Addition to drive
❑ ncrete, see concrete form
pr ximate Square feet /d
Yr. Warranty
Estimated Cost:
Down
e
Bal nc
X 77
Options:
D Fabric Installation
O Permlock LF
Customer Initial
0
Dale
Customer Approval
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
P
L
B
P
RICHFIELD
BLACKTOP
7745 2nd Avenue S.
Richfield, MN 55423
Ph: 612 -866 -8836 • Fax: 612 - 866 -8078
www.richfieldblacktop.com
No Yes
Replace as is O
Flares O
Stumps /Roots Xi ❑
Water shut off ice/ ❑
New Cover O
Drainage Problem O
Heaving
O
Cross Street
❑ Design on separate copy
i' -
Property Line?
rl_n )
O Ok to use Bobcat
in yard. Customer
repsonsible for any
yard /landscaping
repair.
Sign
Circle One