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4625 Cambridge Dr - Zoning Permit For Office Use I I 1 ~ c\ Q I 1 V L~ b City of Wan ~ Permit* I 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: l - Phone: (651)675-5685 L - - - - - - - - - - Fax: (661)676-5694 Email: Diann inaftityofeagan.com ZONING PERMIT APPLICATION E] Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Site Address: 1t- j Property Information Owner Name:' Name: f1'.~tte- Phone: P~~ J i Address: ( > ' City/State/Zip: 3'T Contact Applicant Signature: ' t Date: ~y - Email address: a -P E . s ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other ! 1 ❑ Patio ❑ Sport Court Type of Work i ❑ Sidewalk /16`j Fence s 4 . 7? -141 (Ce, Description of work: `~Cl` SGC Planning Setbacks hard surface coverage shoreland zoning bluff zone/setbacks, etc ~LS pp rove/ Denied= Date: Staff: Notes: ~10'Per~r lines to be verifies! downer. 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: i Comments f 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.ciopherstateonecall.org G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications Premier Fence, Inc. 1105 Homer Street - St. Paul, MN 55116 Office 651-6984007 - Fax 651-698-1535 www.premierfence.com Name Estimate Date Order Date Job Site Address Rep Phone Good For Days city zip County Hudson Page/Grid Cross Street 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 . - : a o,Pet'fX 1uteS40b&~s li8®d by contractorto . - - - _ . Notes: