4053 Amethyst Lane - Zoning Permit
For Office Use I
Permit 1
My of EaEd n ~ . z ;
3830 Pilot Knob Road I j
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5685
Fax:(651)676-6694
Email: pianning0citvofeaaan.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
Owner Name:
Name: Phone: 6
Gs~ M4- gc; ~ r~
Address: t f ~ City/
Contact 1 ~a5 ~"~~ill StatetZip:
:L~
Applicant Signature: •-rv
- Date:
Email address: f 7~~5.
❑ Retaining Wall <4 feet C Driveway ,aa O Other:
13 Side Sport Court
Type of Work = o sidewalk~,ce
Description of work:
Planning Setbacks, hard surface coverage, shoreland zoning, bluff zonetsetba ks, etc.
Approved Denied Date: Staff:
~i htS~ttat S kk MUorr f~~ Property lines to be verified
J~Zv iM' UV!%)FLC 'S . ~ZWZ AAI foe 4j ► k by contr /tawm
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 Flans
Approved: Yes 1 No Date: Staft
Comments _ _
CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
G:1BuildingInspectiortslPERM1TAPPLICATIONSt201IQ011 PermitAppkgons
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