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2140 Carnelian Lane - Zoning Permit s I For Office Use I ~ Permit I City of E a d E 3830 Pilot Knob Road I I Date : Eagan MN 55122 L--- Received-- Phone: (651) 675-5685 Fax: (651) 675-5694 Email: plan ning(a?_cityofeagan.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: n CGi r/\ P r t1~_ ~j S S I INFORMATION Owner Name: Le-c,, 1(2 ✓ r e~ V -e- Name:,1orc` v>n b-e- ~TZ -7 "~011~ Phone: 6;!&l -JUS- 7? Address: a f g D Cc /!1 e G,L 1 City/State/Zip: a n 11+t S3~ CONTACT \ Applicant Signatu ~ Date: 10-/52 Email address: ~ebro. k~Mb~ i F Voi-~ c,o rte. ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: TYPE OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk ;I Fence b" (3 t ake Description of work: 1 c c e vu g- v~' U ! `~J C ClaN~ C"~ Wt 5 +Or _ PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. , 4Copprove / Denied Date: Staff: 21V ~s No e`~ s: Property to be verified by contractor/owner. i Revised Plans Approved: Yes / No Date: Staff: ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. i Approved / Denied Date: Staff: Notes: Revised Plans Approved: Yes / No Date: Staff: COMMENTS c co g r ~t~ce ~le.s`.o >5~t ~w~,"lam. ~t+v+¢ ce _ 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:\Buildinglnspections\PERMITAPPLICATIONS\2011\2011 Permit Applications w r i It c, . 't. tcn - a