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1069 Northview Park Rd - Zoning Permit 11.09.2012 10:01 AM PAGE. 2/ 3 For Off lee Use I I hr CitY of E; Permit ✓ , 3830 Pilot Knob Road I I Eagan MN 56122 1 Date Received, Phone: (651) 676-5685 ~----------------_a Fax: (681) 676.6694 Email: ptannln citvofeaaan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. iPRGPER71C. . Site Address; c ) r K ~a ~ ~r} 1,Ute~,.) I-a INFORMATION Owner Name: Q S C, -z, Name: ✓ Phone: y 3 4/ 6 9 6 Address; ; 4' City/State/Zip: CONTACT 1 o w<. y t r w rv% n l ~ s.S i to Applicant Signature: Date: Emalladdress; yC' u5 ~~..~0YY1 - O Retaining Wall <4 feet Driveway ❑ Other. TYPE OF 0 Patio 0 Sport Court WORK XSldewalk ❑ Fence Description of work: -t.Yv~Gya•• ~~aiJl c. c r,~, . 37 7- PLANNING Setbacks, hard surface covdraye, shoroNhd :.6nl%, 110f.. /setbacks, etC,. Approve Denied Date: 13 a Staff; ~/f ' Po," e x -e~tndS to eas i Pa-10 i vii ocue P rty~lines to be verified by contractodowner. Revised Plans Approved: Yes / No Date: Staff; ENGINEERING Grading,. drainage, utility easements, wetlands, erosion control, Improvements In.the.Alght-pf-Way, etc. fApp r o e' Dented Hate: L- Staff; rm Revised Plans Approved: Yes ! No Date: Staff: CQMMENTS W CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gQDherstateonecall,ora GAIIullding InspectlonslPERMIT APPLICATIONS1201112011 Permit Applications 11.09.2012 10:02 AM PAGE. 3/ 3 Trooyosa.f A.C.T. ASPHALT SPECIALTIES, INC. - 547 West County Road E (651) 484-1696 Shoreview, MN 551.26 FAX: (651) 484- 063 C,'/ SI PROPORAI~SUHM'1'r'r MArl0 NATt- DATC / STREET JOB NAME , CITY 8'tA" ND Z/II'• CODE, JOB LOCATION F HONE l0 i+Hf,ryE' SPATE ID NUMBER 00051,12 WEATHER PERMITTING STAH I JUN 1 I 6,51 LICENSED & 80NDEO TO $10,000 WEEK Of We hereby submit specifications and estimate, tit- 4 0'152 C1 kv eL-02-- 4vi -57.4 J; n4y Gt' Pay ant to be made as f Ilows; I AT C 7 We Tvopo<c hereb o furnish material and labor, lb'~ AC complete with above specifications, for the sum of Price $ ~ Property lines to be verified PLUS ANY REQUIRED PERMIT FEES Ibyoontraraodowner. Down Payment_$. Past due accounts--add $10.00 per week, collection fee Balan e $ All material is qulranlced to bu as specified. All work IF. to be COMpI010 in a Authorized Signature workmin;:hip-like manner according to Standard pl'acGCOS Any alteration or deviation - - from above, %peciflcaUOns involving extra costs will be executed only Upon written Subject to Office Approval orders and will becorne an extra charge over and above estimate. All agreements - cunlinyenl upon strikes. accidents or delays beyond our control. A,C.T. Asphalt Speclaltlus is fully covered by Woikmans' CompcnPa1iun and General Liability Note: This proposal may be Insurance, withdrawn by us If not accepted within-----.,,,.,`days. Acceptance of -Proposal-- The above prices, specifications and Signature.' 9 conditions are satisfactory and are hereby ac epted You are authorized to do the work asspecified P~,r~ pe~made as - Si9nature outlined above. Date of acceptance: 7104 400