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4567 Oak Chase Rd - Zoning Permit 06/14/2013 22:02 N0.182 #001 1-----__ F For Office Use non ; Permit City of Ea - Ab~ I I 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'~ 7 } - The Twin Cities Paver of Choice - B~ EZIEL ~f u8ciemllP m MW ,Juf '7 /f r~iua: 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