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4347 Bent Tree Lane - Zoning Permit r - - - - - - - - - - - - - - - - -I I For Office Use I f I City of 1 Ean~d Permit v I 4100~ on I I I 3830 Pilot Knob Road I t . I Eagan MN 55122 I Date Received: - Phone: (651) 675-5685 Fax: (651) 675-5694 Email: plan ninq(dcityofeagan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PROPERTY Site Address: y+ L v c LN, N MN ~tj) Z 3 INFORMATION Owner Name: MtS ~FjNt l~ C~ -G6 a Name: rvJ jOV c+ Phone: S l - % S2- SJj7 Address: LJ 3 ~~e,, yVPP ~N` City/State/Zip: ~f~y✓,, ►"IlyS I Z CONTACT . Applicant Signature: ] " ( Date: 5)2 2G j 3 I Email address: 1j/ p 6 S 1~ V)dD Go M ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: TYPE OF ' ❑ Patio ❑ Sport Court WORK' ❑ Sidewalk Fence Description of work: PLANNING Setbacks, hard surface coverage, shoreland zoning, bluffzone/setbacks, etc. Apro enied Date: S Staff: 6r~ Notes: ~t 44.-j aSS~U..c~ all r-iSlLS t.✓,'~ Property lines to be verified Revised Plans by 001 lb1twiftl lur. 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: COMMENTS 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.gopherstateonecall.org G:\Buildinglnspections\PERMITAPPLICATIONS\2011\2011 Permit Applications ESTIMATE / ORDER Gopher State (1) Call ID .#464 Ticlket-# ~C' Nearest Intersecting Street Hudson Page # Township Hudson Grid Range 525 E. Villaume Ave. / South St. Paul, Minnestoa 55075 Corner Lot E] Section/Quarter (651) 451-2221 - Fax (651) 451-6939 Name 1 Date 20 Spouse Job No. Address~ Salesperson 12 City 46~A„°~, County State/'y Zip P. 0. Employer Home Phon Picture No. Job Site Address Work Phone ( ) Terms: 10% Down 50% Start Up Work Phone (Spouse) Balance To Installer on Completion E-mail: ' Cell Phone: Customer Initials QUANTITY DESCRIPTION --cif -'°L Lf/G~di2f L1_.'~ i' el~ Z" - -~r2 vG~ / ~ Nl~ < Cr2~p 3 alZa',_ ~3 CN Down Payment: Check Amt. e DP E] PS E] BCE] ALL 0 A SERVICE CHARGE of 11/2% per month (18% Annually) will be applied / /tf~/✓G/%!/ i on all past due balances. MATERIAL AND INSTALLATION The purchaser shall be responsible for any and all collection and legal costs incurred by Midwest Fence in the event of this bill becoming past due. THIS ESTIMATE VALID FOR 30 TAX Midwest Fence reserves the right to lien the improved property if payment in full as agreed to in this contract is not received. DAYS FROM ABOVE DATE TOTAL Owner responsible for establishing correct property and fence lines. Any Permits required shall be the sole responsibility of the owner. Owner responsible for removal of obstructions of every nature which will interfere with the installation of the fence. This contract assumes normal ground conditions. Should rocky or excessive hard digging be encountered, owner agrees to pay additional costs of such work. Midwest Fenced Mfg. Co. shall furnish only the material and labor specified in this contract. Any changes made from the above specifications will be billed at Midwest's current retail prices. This order will become binding only upon Midwest Fence Managers approval. r s Sig l Form 2 - Rev. 2-05 Manager alespersonIs ignature Date Copyright© 2005 E-mail: link@midwestfence.com www.midwesgence.com ooov - ~Iv loo .4mm .,....~..r... Z f d- FC~,;4 W ~ ~11V ( 01 F v f~iv 'T C~ Ul) ~.o 3d ( 0 4 AKA4E 53 jc , y 1 n 7 3~ •'1 N ~ r ~•S IZ~33 ~ _j 'Q O I 19,1 u I ! cc) oz ~h ,~,c.• By EPT. -T 10 I.-A Pr.~- ica~~.y ;N4'i ~v J rv~.E D 3 PL A t7 D\. 1 o ~-d i D A M~-- o '~P► Gov ~.l "rte{' To ~ o v L L , g37. o i ICJASEMEN"T EL. ~Z~Z N\I N N~ 5o TA ` tea, n3 L