4567 Oak Chase Rd - Zoning Permit 06/14/2013 22:02 N0.182 #001
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For Office Use
non ; Permit
City of Ea -
Ab~
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3830 Pilot Knob Road I I
Eagan MN 56122 I Date Received:
L-------------
Phone: (651) 675-5685
Fax: (651)676.5694
Email: planning0eltyofeagan.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
:Fro r. ty Site Address; ci I t> I ~t
l' a
Owner Name: R C~ [Act7
~ !5-
Phone -
. Name:
ell
, Address: City/State/Zip: RI•- G :I
Contact
Applicant Signature: Date:
1
Email address: ck o j~ CGG7'
❑ Retaining Wall <4 feet ^Driveway ❑ Other
O Patio ❑ Sport Court
Tye Of (A14r14 ❑ Sidewalk ❑ Fence I
Description of work:
MI[ti twg Set~ack`~ herd serface coverage, sttot8l~nt ionin~, bluff 2ol~etgetbacks, eda
„
pro I Denied Date: fo (7! Staff:
Notes:
Revised Plans
Approved: Yes ! No Date: Staff:
Engineenng . ` Oracllrlg dt2iiiage; utility easer7aentsx uir,~tl~tr►ds, erosion confrol ftytproVenlenlt~ ~n the Mt +df r/Vay .etc.. .
Approved / Denied Date: Staff: _
Notes:
Revised Plans
Approved: Yes/No Date: Staff: _
Corrtmel~ts
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.aonherstateonecall.org
G:1Buildin9 Inspections%PFRMIT APPLICATIONS1201112011 Permit Applications
06/14/2013 2202 NO. 182 #002 Z'~
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} - The Twin Cities Paver of Choice - B~
EZIEL ~f u8ciemllP
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ESTIMATE By: #
RICHFIELD
Date: BLACICMP
i
Name: ~c~.~ •~r.--~ ~i un~~~C P
7745 2nd Avenue S.
Address: G ~ 7 . owe- CL- Richfield, MN 55423
Ph: 612-866-8836 • Fax: 612-866-8078
City: 5~ Z~ P www.richfieldblacktop.com
(h) / r No Yes ❑ Ok to use Bobcat
Replace as is G in yard. Customer
c
Flares O repsonsible for any
(w) Stumps/Roots ❑ yard/landscaping repair.
ermit ~Yec-1 No Water shut off ❑
emove Asphalt Drive (Extra charge if over 4") New Cover l-1
Sign
❑ Remove oncrete (Extra charge if over 4") Drainage Problem u _
* Apron removal 2 car 3 car - ❑ Design on separate copy
* Cap Blocks ,-,,,,(Does not incl. foundation work) ~ C
❑ Remove Gravel, Dirt or Sod M Y~
Base, after compaction J9'
C3 Your existing base and ours
b "'Regrade for proper drainage
. Hot Mix Asphalt compacted to-
C3 Addition to drive
❑ Concrete, see concrete form
~I
approximate Square feet
.S Yr. Warranty
Yr. Asphalt Protection Plan (see details on back)
Options:
❑ Fabric Installation SF_ $
❑ Permlock LF $
Customer Initial
Estimated Cost
d Ci
Down
Balance
x (:~X
CuslomerAppmal ate r \
I have read and agree with the terms and conditions on the reverse side. GJ
SIGN AND RETURN WHITE COPY Property Llne?
1 2 3 4 5 I ( Circle One
Licensed • Bonded - Insured