2246 Clark Street-Zoning Application
651'241 5185 Minnesota Perinatal 12:26:54 p.m. 04-17-2013 1 12
For Office Use 1
City of Egad ~oq~
~ Permit p:
3830 Pilot Knob Road I
Eagan MN 55122 1 ,7/,)
Phone: (651) 675-5685 1 Date Received:
Fax:(651)675-5694
Email: plannina0citv90aan com
ZONING F :RMIT APPLICATION
/Please identify improvements on a sca ad site plan drawing that shows lot lines structur
and existing conditions. es
Property Site Address: ! S `n\
Information ` 1
Owner Name: ` U
Name:
Phone:
Address: (-S City/State/Zip: m
C" IR
' Applicant Signature: Date:
Email address:'
❑ Retaining Wall <4 feet D Driveway 13 ❑ Patio Other:
Type of Work ❑ sport court
❑ Sidewalk )%Fence
Description of work:
R~apttrng selc>r'ra Wirer
= slktot'dlattd itln9, bluff ~€?i~eD~tts 8tc.
Approved enied Date: -0~ 3- Stal. `
otes: i'' 4r-> - y~C2.~ hQ hd0.)+
Properly lines to be verified
4WIi tom, Me.S all 1~1 Sk_ 'i bY,contractorlowner.
I U4Ce--)
Revised Plans EGSe
Approved: Yes / No Date: Staff:
~ngirteering Grading, draine9e, Utility easements, wetlands, erosion motrol, in4ywvments In the Right-of=Way, etc.
Approved/ Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes / No Date: Staff:
04' Milner S
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.aooherstateonecall oro
G:\Building Inspections\PERMIT APPLICATIONS\201 1 \2011 Permit Applications
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651'241 5185 Minnesota Perinatal 12:27:17 p.m. 04-17-2013 2122 -~j
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