1284 Berry Ridge Rd - Zoning Permit & Plans 04/04/2013 20:50 N0.012 #001
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I For Office Use T---_-
Czt of Eapn I Permit#:. 09 360 1
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3830 Pilot Khob Road
Eagan MN 55122 1 Date Received: L Z~ 1,1-3-- 1
Phone: (651) 675-5685
Fax: (651) 675-5684
Email: plan ninciRcityofeagan.com.
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address:
k~3
Owner Name: ~/G I
IQ 75 _zk Name: C-1/~ t 1 1. one:
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Address: t C..n1~ i -Rj City/State/Zip:
Contact -
Applicant Signatur Date:
Email address: ~lYt i , C10
.
❑ Retaining Wall 44 feet veway ❑ Other:
❑ Patio ❑ Sport Court
Type of Work' ❑ Sidewalk El Fence
Description ofwork: ~ ~ ~ I S t a i WAG J v i yPv~~•
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Rl;~nning 5ethacks hard suC~~ct; Cnverage :skio~el;nw d z~ ornnc bluff zones. cks; ate
proved enied Date: 5 I Staff:, t c
Notes:
Revised Plans .
Approved: Yes / No Date: _ Staff:
Et~tneenng Grading, d~airwag~, Utility eas~tnentS wetlands e~pslQn ~oritral, lrttproJenienfs in 'theRighf of UVYtC
Approved / Denied Date: _ Staff: _
Notes:
i
Revised Plans
Approved: Yes / No Date: Staff
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali
48 hours before you intend to dig to receive locates of underground utilities. w ww.goaherstateonecall.org
G:1Building Inspectlon$\PERMIT APPLICATIONS12011\2011 Permit Appliwlions
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- The Twin Cities Paver of Choice -
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ESTIMATE By:? RICHREI-LD
Date:
91
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Name: - 14A p
7745 2nd Avenue
L Richfield, MN 55423
Address.
g Ph: 612-866-8836 - Fax: 612-866.8078
City. r? www.dchfieldblacklop.com
P
No Yes ❑ Ok to use Bobcat
(c) Replace as is J~f ❑ in yard. Customer
Flares U R~ repsonsible for any
(w) - Stumps/Roots J6 ❑ yard/landscaping repair.
ermit _yes. I No Water shut off Id ❑
~emove Asphalt Drive (Extra charge if over 4") New Cover X ❑
Sign
U Remove Concrete (Extra charge if over 4") Drainage Problem ❑
❑ Apron removal 2 car 3 car_ ❑ Design on separate copy
Cap Blocks (Does not i . foundation work) _
Remove Gravel, Dirt or So ~
-GE Base, after compaction 0~ lpU~
❑ Your existing base and ours
l, Regrade for proper drainage
Hot Mix Asphalt c acted to / _
!l' Addition to drive
❑ Concrete, see concrete form
Approximate Square feet '
Yr. Warranty
Yr. Asphalt Protection Plan (see details on back)
Options: ~ ,\1
O Fabric Installation SF~ $
❑ Permlock LF $
Customer Initial L-160
z1 ~
Estimated Cost:
Down
Balance
X ~~3f 3
Customer Approval Date
I have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY Property Line?
1 2 3 4 5 _~'n 4 0 'n Circle One
Licensed - Bonded • Insured - -
NO# ZTO'ON 09:V ETOZ/b0/40