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3778 South Hills Ct - Zoning Permit & Plans 06.07.2013 08:40 PM PAGE. 2/ 3 For Office Use ' I t - „i Permit City of Eap 4 I I I I 3830 Pilot Knob Road I Date Recelved: Eagan MN 55122 L__________ Phone: (661) 676-6685 Fax: (651) 675-5694 Email: plan ninu@cityofeagan.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; .377? J o 4k 115 INFORMATION Owner Name: 6a r Y"" S ► t We ,r't f Name: 1 lS fPl'ione; 69 AG Address: 114 W C. " +1 61_.. a City/State/ZIp: pJe V f C:u h CONTACT A $31ab Applicant Signature: Date: 7 02 Email address: W~Driveway w ❑1Other:wY4 0 Retaining Wall <4 feet _ TYPE OF 0 Patio G Sport Court WORK 0 Sidewalk O Fence .~~1 a C Description of work: P, inn DV 0- PLANNING Setbacks, hard surface coverage, shoreland.zoning., bluff zone/seibac ,:.atc., Approved Denied Date: pt_ Staff; No s: 1 Property lines to be VerMed by owlVactpr owner. Revised Plane Approved: Yes / No Date: Staff ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved / Denied Date: Staff: _ r Notes: Rer vlsed Plana ~•~--~.-.___....,_..,,.,...,_,,,,_.___._,,,.~~,_.....,_Approved: Yes / No Date: Staff: COMMENTS CALL BEFORE YOU DIG. Cali Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www goeherstateonecall.p G:\Building Inspections\PERMITAPPLiCATIONS\2011\2011 Permit Applications 06.07.2013 08:40 PM PAGE. 3/ 3 I [ Mg A.C.T.- ASPHALT SPECIALTIES COMPANY WOMSI-LEFT NO YES NAME Al Y/tr- ADDRESS TREE STLIMPS El M TREE ROO O O 3 7 '7~ ,O✓Tl~ rL ~0~4 SPRINKLING SYSTEM ❑ 0 CITY ZIP ►+ousE ~ ~Fa~/ s"~~~~ ~ R40K WIRES E] o ELECTRIC W RES O O HOME P1WNE WoeK PHONE CABLE O O 4 3 8 45 y- y~ y70~ WATER SMUT OFF O O APPOINTMENT LEAD SOURCE DATE SOLD CRA14AGE PWWMS 13 13 GRADE CHANGE O O TIME hEAVRQ O O OVERMFm LINES O O / LEAD $ TREE LIDS O O APPOINTMENT ESTWTOR ROOF OVERI," O O CIiANSAW O q PROPERTY LINE DISTANCE S. CPU WP CD-00 BLOCK RE WIR O 4 CROSS STREET s 06 T 44-70 .5 'j e v ( CALL GOPHER _/c S ~~~G•f - - S -A EXCAVATE / . No YES /9 BASE REPLACE AS IS C FLARES 0 EM a OF REMOVAL TACK KAMMERO AC GRASS GRAVEL EXTRA CONCRETE OTHER ?RUCKS 9L►T' , ►a SAW CUT SCHEDULER; PG SM ❑ EXTRA TRK LOADS IN . , . . . REPLACE ❑ OKTOUSEBOSCAT ORTRUCK IN YAFID WITH 6qg FOR ANYYAPA3D* t4GEMID ® ( , . FE;STORATION CUST SIG SIDEWALK . REGARDING THIS INSTALLATION, EXP OR TERMS OF THIS PROPOSAL, IS EVERYTHING YOU WANTED A/C . • . . IN WRITING? IF NOT, PLEASE PUT IN WRITING AND ATTACH SEALCOAT • • CUSTOMER TO PAY ANY CON x REQUIRED PERMIT FEES SEALS S x 250ADDITIONAL FOR MAJOR BLOCK REPAIR COIIIM[FTED TO EXCELLENCE OUST SIG