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2292 Clark St - Zoning Permits & Plans r For Office Use I Wy I of Eajan J Permit: 6) 0 1 I I 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: Phone: (651) 675-5685 L-----------------' Fax: (651) 675-5694 Email t ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. i PROPERTY Site Address: o ( ,rte ~G INFORMATION Owner Name: Name. X22_ Phone:! Address:? 9 a C ~y_ , City/StaterZip: CONTACT t Applicant Signature: L Date: Email address: a/ a ❑ Retaining Wall <4feet ~ 0 Driveway ©Other. TYPE OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk _Otence Description of work. PLANNING Setbacks, hard surface coverage, shoreiand&oning, bluff zonelsetbacks, etc . Approved 1 Denied Date: (V (`7 ( staff: v~ r Notes: t Property lines to be verified by contractor/owner. Revised Plans _ Approved: Yes I No Date: Staff: ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. p roved Denied Date. Staff. otes: 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. w ®xiopherstateon;: alLorg G:113uilding InspectionslPERMIT APPUCKnONS1201112011 Permit Applications . '21 r F4 Y J PVC, 2 ST M 4i".: , ~!~v 1 a n Proparty lines to be verifiE k F } ~ by contractor/9wher. 000