4804 Four Seasons Dr -Zoning Permit
For Office Use I
i Permit
City of Eapn I
I I
3830 Pilot Knob Road
I Date Received:
Ea 3
9an MN 55122
Phone: (661) 675-6686
Fax: (661)675.5694
Email: planninciftitvofeagan.com
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address: 1
Property _V y ie ,1~
Information
Owner Name: 1lA SLk r, k'4 f 09-1
Name: l +905.E1-~ Phone: - 3 - iv U
` C /1
Address: ~q Z 0 I L{
j ST V City/State/Zip: VMIL~ /
Contact
Applicant Signature: Date: (tea ~13
Email address: 44-1 . S. 'Z
❑ Retaining Wall <4 fee Driveway ❑ Other.
❑ Patio ❑ Sport Court
Type of Work Sidewalk ❑ Fence
Description of work: C- /4 C
Planning Setbacks, hard surface coverage,,shoreland zoning, bluff zone/setbac etc.
Approved nied Date: ~D 1± Staff:
Notes:
Revised Plans
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:\Building Inspections\PERMITAPPLICATIONS\2011\2011 Permit Applications
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