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3889 Serpentine Cir - Zoning Permit & Plans 07/23/2013 19:45 N0.292 #001 For Office Use City of EI Permit © 1 I 3830 Pilot Knob Road I U? I Fagan MN 66122 `Date Received-- i Phone: (651) 675-5686 Fax: (651) 675.56x4 Email: plannlng%c;itvofeaaan.com ZONING PERMIT APPLICATION L7 Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. S~R,J( K, P P 6- roperty Site Address: InfOCrn~tlt~n r-_ rf N FE R, Owner Name: Name: Phone: Address: City/State/Zip: Conlact Applicant Signature: Date: ,e f . t CG~I~L'1 Email address: O"CCLG^JODr Retaining Wall <4 feet (Driveway ❑ Other: 0 Patio ❑ Sport Court p~ Gf W►o* d Sidewalk 0 Fen Description of work: PlariAtng Setbacks; k. Ord to. 4r c.ov rage, shOre. nd attialtli zcliedsethacks pproved Denied Date: -7f 7-Ir t425 Staff: Notes: Revised Plans Approved: Yes ! No Date: Staff. Eginebcing Grading drainage,;ut`Ilty t;a5erner9lS, vi►etlands, eroalan contrAC~ 1 Ctiprt2Vements.In the'Right-of: Why, etc. Approved / Denied Date: Staff; Notes: Revised Plans Approved: Yes / No Date: Staff. Cbt>Itiments:; CALL BEFORE YOU DIG. Call Gopher Stato 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.aol3herstateo.ne.ca0.org WOuilding InspectionaWERMITAPPLICATIONS12011\2011 Permit Applications 07/23/2013 19:46 N0.292 #002 The Twin Cities Paver of Choice - B13K 686. ~camrrto ~ ~-1 ~ e~lpwo~ rycMR; 0 / ESTIMATE By: # • r Date: r • P Name: 7745 2nd Avenue S. Address: L Richfield, MN 55423 B Ph: 612-866-8836 y Fax: 612-866-8078 City: _ p www.richfiieldblacktop.com No Yes Lt Ok to use Bobcat (c) Replace as is ❑ ❑ in yard. Customer Flares ❑ O repsonsible for any Stumps/Roots O LI yard/landscaping repair. Permit Yes ! No Water shut off Q ❑ U Remove Asphalt Drive (Extra charge if over 4") New Cover ❑ ❑ Sign - 0 Remove Concrete (Extra charge if over 4") Drainage Problem ❑ U Apron removal 2 -car Scar ❑ Design o separate copy ❑ Cap Blocks (Does not incl. foundation work) U em9ve Gravel, Dirt or Sod Base, after compaction Your existing base and ours C3 ~e ade for proper drainage Mot Mix Asphalt compacted to ( ❑ Ad ~fion to.drive f ❑ Concrete, see concrete form / qz~Appr ximate Square feet Yr. Warranty Yr. Asphalt Protection Plan (see details on back) Options; ❑ Fabric Installation SF I ❑ Permlock LF $ Customer Initial Estimated Cost: 45 K'52 I I Down Balance - l ~ i C slomer Approval bate I have read and agree with thaterms and conditions on the reverse side. SIGN AND RETURN-WHITE COPY Property Line? 1 2 3 4 5 Circle One Licensed o Bonded - Insured