3956 Westbury Way - Zoning Permit and Plans 04/26/2013 19:22 N0.051 #001
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ForOfflceUse
~ Permit#:
City ofEva
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3830 Pilot Knob Road
Eagan MN 55122 1 Date Received:
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L - Phone: (651) 675-5685
Fax: (651)675-5694
Email: plan ning0cltyofeanan.com
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address: C7
Owner Name:
Name: V► ` Phone: (Q /0 r O
Address: city/State/Lip:
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Applicant Signature: Date: 43
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Email address: U t t~,~ CCd
❑ Retaining Wall <4 feet riveway ❑ other:
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❑ Patio L3 Sport Court
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❑ Sidewalk ❑ Fence
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Description of work:
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Pl~nr>iing Satbal~ksr halm rar ace c~vecragi3, shdielan &Iarl PYOItJf ' o,ersQt ~~lcs, k~t~ r 1
Approved I Denied Date: Staff Cr- I~ ~f A,o~ lti.
Notes:
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Revlsed Plans r•!w_ w_-•~_
Approved: Yes / No Date: Staff:
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Approved ! Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes / No Date: Staff:
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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.gopherstateoneGall.ora
G:1Bullding Inspcctlons\PERMITAPPLICATIONS12011\2011 PormitAppllcatlons
04/26/2013 1923 NO. 051 #002
Paver of Choice - 4
The Twin Cities
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RICHFIELD
ESTIMATE i3y.
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Date: LEA
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Name: LCJ7745 2nd Avenue S.
S~ ~ rRichfield, MN 55423
Address:-. Ph: 612-866-8836 - Fax: 612-866-8078
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` P www.richfieldblacktop.com
City,
(h) c No Yes ❑ Ok to use Bobcat
_ Replace as is 6r ❑ in yard. Customer
(c) Flares ❑ repsonsible for any
(w) - Stumps/Roots ❑ yard/landscaping repair.
~e, r m i t 5yAs.J No Water shut off ❑
Remove Asphalt Drive (Extra charge if over 4') New Cover u Sign_
❑ Remove Concrete (Extra charge if over 4") Drainage Problem _4 U
O Apron removgJ 2 car 3 car- ❑ Design on parate copy
Cap Blocks (Does not incl, foundation work)
❑ emove Gravel, Dirt or Sod
C/4wBase, after compaction
❑ Your existing base and ours
U egrade for proper drainage
Mix Asphalt compacted to~-
jHot
❑ n to drive nil
❑ Concrete, see concrete form
❑ Appimate Square feet _
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Yr. Warranty
Yr. Asphalt Protection Plan (see details on back)
Options,
O Fabric Installation SF $ - I
❑ Permlock LF_ $
Customer Initial - / ( d2~ `/Z
Estimated Cost:
Downl ~`1r r ~1 R
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Balance 1` , - - /
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Customer Approval Date
I have read and agree with the terms and conditions on the reverse side.
Property Line? .
.SIGN AND RETURN WHITE COPY
1 2 3 4 5 Circle One
Licensed • Bonded • Insured ~LJ