4625 Cambridge Dr - Zoning Permit
For Office Use I
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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
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Description of work: `~Cl` SGC
Planning Setbacks hard surface coverage shoreland zoning bluff zone/setbacks, etc
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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
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o,Pet'fX 1uteS40b&~s
li8®d
by contractorto .
- - -
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Notes: