4643 Fairway Hills Dr - Zoning Permit
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I For Office Use I
non I, LO City of EaKd Permit#: l0 l I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5685
Fax: (651) 675-5694
Email: plan ning(&citvofeagan.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: (p 3 ,pt l s ` -
INFORMATION
Owner Name:
Name: Phone:
Address: City/State/Zip: N
CONTACT
Applicant Signature: Date:
Email address:
❑ Retaining Wall <4 feet riveway ❑ Other:
TYPE OF ❑ Patio ❑ Sport Court
WORK ❑ Sidewalk ❑ Fence
Description of work: re,,.- , .,,,A.
PLANNING Setbacks, hard surface coverage_shoreland zoning, bluff zone/setbacks, etc.
Approved / Denied Dater " Staff:
Notes: Z Z e l,~ d Ci
Revised Plans
Approved: Yes / No Date: Staff:
j 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:
i COMMENTS ' _._a___.M.._._...._ ---...._......__.___o_........._....._._~.,,r.__._
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.gopherstateonecall.org
G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications
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