2065 Royale Dr - Zoning Permit
For Office Use
i
Permit I I
City of Ea noii'
3830 Pilot Knob Road I I
Eagan MN 55122 "E I Date Received:
Phone: (651) 675-5685 L----------------J
Fax: (651) 675-5694
Email: planningCfcityofeagan.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: Z (0~- Ao c -e
INFORMATION ' 'M /
Owner Name: t~✓! Gt- f'Y! j~ / `'a, ~JU . Y7 C~
- Name: OY ~h t- V) Phone: /
6' ' 6 -5 '
Address: Oh?t~f City/State/Zip: cX v~ MLAJ
c~~ 1 I
CONTACT
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Applicant Signature: Date:
Email address:
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❑ Retaining Wall <4 feet ❑ Driveway ❑ Other:
TYPE OF ❑ Patio 13 Sport Court
WORK ❑ Sidewalk Axence
Description of work: •+cc
E PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/Fetb k c.
Approv Denied Date Staff:
Property Knee to be verified
by oonuactor/owner.
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.gopherstateonecall.orct
GABuilding InspectionsTERMIT APPLICATIONS\2011\2011 Permit Applications
Premier Fence, Inc..
1105 Homer Street • St. Paul, MN 55116
Office 651-698-4007 • Fax 651-698-1535
www.premierfence.com
Name Estimate Date Order Date
Job Site Address Rep Phone Good For Days
City Zip County Cross St. Page/Grid Kine Hudson
H Phone W Phone Marked By Ticket #
C Phone Fax Permit Responsibility: Premier Customer N/A
Email
Scheduling Request Aprox. Lead Time
Property Line ID Labor Application Pool/Site Rem / Haul / Footings Obstructions Utilities underground
Inspection Required Custom Application Customer Preparations Dumpster / Dirt Haul Accessibility Private Line/Sprinkler
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Notes:
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