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4059 Amethyst Lane - Zoning Permit & Plans
r----------------'--~ I For Office Use Ea~d City of Permit I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: 1 Phone: (651) 675-5685 Fax: (651) 675-5694 Email: planning(a)citvofeagan.com ZONING PERMIT APPLICATION F1 Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. ti PROPERTY Site Address: { ~i- LMT Y, m,"W_ INFORMATION: / { Owner Name: 41, r~ y Name: t~ l - Phone: Address: 1f ~l`~7 f h City/State/Zip:' Y CONTACT; ,.y Applicant Sig r nature: Date: Email address: ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: TYPE,OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk ~nce 1 Description of work: ' 7E ° t%r"' f ~4 ` n 7 PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc Approved' 1 Denied Date: /3 Staff: T Notes: Property lines to be verified by contractor/owner. 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\PERMIT APPLICATIONS\2011\2011 Permit Applications ESTIMATE / ORDER Gopher State (1) Call ID #464 Ticket # Dlosq Nearest Intersecting Street Hudson Page # Township Hudson Grid # Range 525 E. Vllaume Ave. / South St. Paul, Minnestoa 55075 Corner Lot Section/Quarter (651) 451-2221 - Fax (651) 451-6939 j 10/ Name Date 20,1y Spouse c o1 Job No. Address Salesperson /2,, ~~~~i~~° CityCounty State Zip P. O. Employer Home Pho{ fl :>f Picture No. Job Site Address Work Phone ( ) Terms: )4 Io, Down Work Phone (Spouse) ) SObb Start Ba o Installer on Completio E-mail: Cell Phone: Customer Initials ~ QUANTITY DESCRIPTION 4 e Property lines to be verified • Price Down Payment: Check # Amt. Date DP0 PS El BCC ALLY s A SERVICE CHARGE of It/s% per month (18% Annually) will be applied on all past due balances. The purchaser shall be responsible for any and all collection and legal costs MATERIAL AND INSTALLATIO incurred by Midwest Fence in the event of this bill becoming past due. THIS ESTIMATE VALID FOR 30 TAX Midwest Fence reserves the right to lien the improved property if payment DAYS FROM ABOVE DATE in full as agreed to in this contract is not received. TOTAL Owner responsible for establishing correct property and fence lines. Any Permits required shall be the sole responsibility of the owner. Owner responsible for removal of obstructions of every nature which will interfere with the installation of the fence. This contract assumes normal ground conditions. Should rocky or excessive hard digging be encountered, owner agrees to pay odditional costs of such work. Midwest Fence & Mfg. Co. shall furnish only the material and labor specified in this contract. Any changes made from the above specifications will be billed at Midwest's current retail prices. This order will become binding only upon Midwest Fence Manager's approval. j ' -Custprrier Sig; af i _ _J r' Form 2 - Rev. 2-05 Manager { Salesperson's Signature Date Copyright© 2005 www.midwestfence.com r----------------� I For Office Use I I � C�t� of �a�a� ; Permit#: �LX ��v� � 3830 Pilot Knob Road =• ����' ,�.� I ���� � � I Eagan MN 55122 �" `'' I Date Received: � Phone: (651)675-5685 ��G 1 8 ���� �----------------- Fax: (651)675-5694 Email: planninq(a�citvofeaqan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Pt'Ope1'ty Site Address: , � S 4"� Information Owner Name: (�/� � c,.`, Name: L �,� � ('f �� Phone: �j�^ Address O � � City/St /Zip: ,��� J /J Contact 551�' Applicant Signature: � Date: ,� � 6 Email address: ❑ Retaining Wall <4 feet ,�a-iveway ❑ Other: ❑ Patio ❑ Sport Court Type of Work ❑ Sidewalk ❑ Fence Description of work: Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setback �etc. pproved/ nied Date: � vi ��"" Staff: 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 ; , �.� �}�,,Y. ,�, �.�. � �, . 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.qopherstateonecall.orq G:\Building Inspections\PERMIT APPLICATIONS ! �W�" � bTOZ/8T/8 -papp s�y�ui pau�eauo�uo��ew�o�u�aya ao�.(a���q�suodsaa�e6a�ou sawnsse.f�uno�eao�ep ;aa;Z£ = 4�u! 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