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853 Great Oaks Tr - Zoning Permit 06/14/2013 21:21 N0.180 #001` 400. For Office Use City of Eapn ; Permit: I I 3830 Pilot Knob Road I Date : Eagan MN 55122 L--- Received-_ Phone: (651) 675-5685 ° Hsu Fax: (651)675-5694 Email: planning@eltyofeagan.com ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. a:.., , a,µ, J{ fed Site Address: r i;;ws; ,,:.,r>> Owner Name: r ame: C L t t 1 J3 C~ L 7V Phone: l Zc: - N ti IIJn'rr Address: CityJState2ip: lL~! 5 Contact ~ . ~f Y„ Applicant Signature; Date: 'e ow Email address: riveway ❑ Retaining Wall <4 feet ❑ Other: " ❑ Patio ❑ Sport Court T~~' cat WOric - ❑ Sidewalk I Fence l Description of work: ~ _i_ _ ~ ~ _ 'Ian ring ,T'~ 10 "0. $llrfac~ coverage, shorelantbnim buff zp Ql ~ibacks~ _af~" ` ' r Approve Denied Date: l 7' ~3 Staff o es: Mom . .9.g _ & k149h-k- -_Dc~~ . OtO i ''E-Oct p<_--vvtif- 1n.~ ~v~j r~G-~i v~~ u`~BYIC_ i v~5 5-}-reed 6, S1 ' 675 -5&(4 Revised Plans -..1 Approved: Yes / No Date: Staff. _ LL ()g;il~trOFir g~' 30ding diamage utihiy easemenfs~ wetlarnd g gSio►1 cdntrol irrl~3rAVi;4i rtt5 in the Rtg~t of y' 6 etc Approved / Denied Date: Staff. Notes: - W-6orty lines to be verffied by contra =downer. Revised Plans - Approved: Yes I No Date: Staff. ...In i. . ..~..IIIiJ 1. n 1 A , " -R4'{?1! OR1_IrIQ(llt6, ~Y1 0l~ 1 Gq yJ 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.noaherstateonecall.orn G:18uilding InspectionsTERMIT APPLICATIONS12011\2011 Permit Applications 06/14/2013 2121 NO. 180 #002 I ► me ► win utries raver of choice i 1 ~ BBQ nalrzonco a :Sbr. en onaer manc~ #...~:::•,:..,'^'"...I t rue'.:' 'I a ESTIMATE B t _ RICHFIELD Date: Lila N ame: ter.,.... •,.i T.. . 7745 2nd venue S Address: L Richfield MN 55423 s Ph: 612-866-8836..: Fax; 612-866-8078 City. / J.. www.richfieldblacktop.com . (h) .l'- o s ❑ Ok t0 use Bobcat: " s' CI in yard': Customer.. Flares ❑ repsonsible.for any (w) Stumps/Roots U yard/ andseaping, repair. Permit Yeo. No Water shut off ❑ ~i Remove Asp. a f .Drive (Extra cht~Pge-if over 4A)~ ii":`- NeV1l.DVe~ U Remove Concrete (Extra charge if over 4") L~Qrainage~~Problern: ' ❑ Stgn ❑ Apron removal' 2 car_ _ 3 car a O ;Design.on separate copy ❑ Cap Blocks . (Does not incl. foundation work) ❑ Remove Gravel, Dirt or Sod ` D4 --°r Base, after compaction . ❑ Your. existing base and ours r~ "de for proper drainage . Hot r Mix Asphalt compacted A~ to f - ❑ ition to drive " - - . u Concrete, see concrete form ,1 App imate Square feet Yr. Warranty T ,O Yr. Asphalt'Protection.Plan .(see details on back),:- Options: t~l ur Ll Fabric Installation SF i ❑ Permlock LF $ Customer Initial ' • =shmated Cost: 'T )own v '42r 3 ~ . n _..s `ter GUstgmc~Japproval Date - _ have read and agree with the terms and conditions.on the reverse side iIGN AMb'.RETURN'WHITE COPY Prope i 1 2 3 4 5:. ~Ycbn f auto ~~e~ Vll w4er.. 760 Circle One Licensed • Bonded Insured '