4248 Valley Forge Pl - Zoning Permits & Plans Aug 22 12 02:09p Microsoft 6128668078 p.1
For Ofriee Use
Permit 9: A ~ ` e2
,
Cit of Eajan
0 Pilot Knob Road I
Date Received:
383
Eagan MN 55122 G L----
Phone: (651) 675-5685 003 i. i
Fax: (651) 675-5694
Email: pllanning0-citwfeagan.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PROPERTY Site Address: ~J
INFORMATION
Owner Name: I '
Name: t 1 Q( C011 Gre- - Phone Address: City/State/Zip: ,RiIck t- 0-1( /7S o
CONTACT
Applicant Signature: Date:
Email address: / V Q
0 Retaining Wall <4 feet MTiveway ❑ Other:
TYPE OF I7 Patio ❑ Sport Court
WORK ❑ Sidewalk O F~nc^
Description of work:
PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setb ck e
Approv / Denied Date: 71 Staff:
e~,,t~El~ y7L i-11C~~i ~4UAr,r 0~tr A-T
f 5 r ✓ T1 +ks= (z
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: Staff:
Notes:
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
48 hours before you intend to dig to receive locates of underground utilities. www gopherstateone2ail.2m
G\Building Inspeclions\PERMIT APPLICATIONS1201 1120 1 1 Permit Applications
Aug 22 12 02:09p Microsoft 6128668078 p.2
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