4017 Camberwell Dr N - Zoning Permit & Plans - - _ r - - - - - - - - - - - - - - - - -
I For Office Use
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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: /
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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
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