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4017 Camberwell Dr N - Zoning Permit & Plans - - _ r - - - - - - - - - - - - - - - - - I For Office Use I I I City of EaFn ; Permit#: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: r2 I Phone: (651) 675-5685 Fax: (651)675-5694 Email: planningna cityofeagan.com ZONING PERMIT APPLICATION F-1 Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PROPERTY Site Address { ; AI r INFORMATION Owner Name: Name: ~p Phone: 6 TO Address: q01 '7 lw~Or,A/city/State/Zip: ~S- LCONTACT a Applicant Signature: Date: / 'L Email address: ✓'~/l Ec~ 071, W ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: TYPE.OF ❑ Patio ❑ Sport Court WORK ❑ Sidewalk 2~-Fence Description of work: Aence 4 t Q~ ~ PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setback etc. rov Denied Date: Staff: ` Notes: Revised Plans Approved: Yes I No Date: Staff: ENGINEERING Grading, drainage, utility easements, v✓etlands, erosion control, improvements in the Right-of-Way, etc. Approved / Denied Date: Staff: Notes: Revised Plans. Approved: Yes I 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 APPLICATION S\2011\2011 Permit Applications M i } 1 r v n to v --.I 5 ~~~✓PS I S C\ ( . C r Q J ~a 3 13 E i { 5 4-y--