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3922 Westbury Tr - Zoning Permit For Office Use I City of EI Permit I I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5685 L - ----------------J Fax: (651) 675-5694 Email: planning@citvofeagan.com ZONING PERMIT APPLICATION Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Property Site Address: Information ? Owr,,e N :ne: - a Name: Phone: P LA Address: ~,j r-1 rl City/State/Zip: Contact Applicant Signature: Date: 7Z /,T Email address: V. ` e.o.,,. _rx.....- A...mwo.s . - ~.~._w amwemw ❑ Retaining Wall <4 feet ❑ Driveway Other: r j0 Patio ❑ Sport Court I Type of Work ❑ Sidewalk ❑ Fence Description of work: t O C- -7-;~ S _ Planning Setbacks, hard surface coverage,-shoreland zoning, bluff zone/setba-c etc. pprov / Denied Date: « ~?j Staff: Notes: " y (5 `+fr%AA V-1av (of tr u e. contr or n 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: I Revised Plans - Approved: Yes / No Date: Staff: Comments s 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.gopnerstateonecall.org GABuilding InspectionsTERMIT APPLICATIONS12011\2011 Permit Applications r f i ,M 0 ~ IS4