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3628 Ashbury Rd - Zoning Permit 08/13/2013 21:46 N0.406 #001 For Office City Of Eap j Permit#: 1 1I I I 3830 Pilot Knob Road I I I Eagan MN 55122 -Date Received------ Phone: (651)675-6685 Fax: (651) 675-5694 Email: planninc0cityofeatlan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Property Site Address: Informlatl©p - t J kcc ROO Owner Name: Phone: Name: 5 City/SfeteZip: lz'C "lamI -ci Address: A tL 0 Contact Applicant Signature: Dater Email address: 1 1.~~iC-G. f l r4Cj Ic~LCc~~f `~•~1` O Retaining Wall c4 feet -Driveway ❑ Other- El Patio ❑ Sport Court Type Of WOrk ❑ Sidewalk ` ❑ Fence\ I Description of work: Plalncll Setbacks, hard vrFsce iOv rage sl grelapd: ararrlrtg, taltlff eJS 78cks efc A~prq -Denied Date: S-° I`f Z Staff r.'l~ c~ ~t~ cQit G~ Notes: ~f~c~~~ ~d / t~Ofa « <t S i~c0f fctl Revised Plans Approved: Yes l No Date: Staff: Etl~ineeriii: ng Grading, gralnage .liUhty eassmertts, wetlands, erosion control Impr©verrler m t►t fire Ftlg#lt-~f Way etm Approved / Denied Date: Staff. Notes: i Revised Plans Approved: Yes / No Date: Staff: 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.nol3herstatoonetaii.org G:\Building InspectionslPERMITAPPLICATIONS12011\2011 Permit Applications "I iL - The Twin Cities Paver of Choice - dBt~y. BBI£ CIM AAYCINKtD ESTIMATE By: Date. Lo P SON Name: P •ti 7745 2nd Avenue S. L Richfield, MN 55423 Address: B Ph: 612-866-8836 - Fax: 612-866-8078 City: P www.richfeldblacktop.com (h) I No Yes ❑ Ok to use Bobcat (c). t° Replace as is ❑ in yard, Customer Flares W, u repsonsible for any (w) ! Stumps/Roots Q ❑ yardilandscaping repair. 1~e*Permit Yes ! No Water shut off U ILL "1` Remove Asphalt Drive (Extra charge If over 4") New Cover U U Remove Concrete (Extra charge if over 4") Drainage Problem ❑ ❑ Sign ❑ Apron removal 2 car 3 car U Design on separate copy ❑ Cap Blocks (Does not incl. foundation work) ❑ Re ?ve Gravel, Dirt or Sod _+r Base, after compaction ❑ Your existing base and ours Z~,Regrade for proper drainage Hot Mix Asphalt compacted to ❑ Addition to drive Q Concrete, see concrete form Approximate Square feet ~Z Yr. Warranty 4,~ Yr_ Asphalt Protection Plan (see details on back) Options: U ❑ Fabric Installation SF ❑ Permlock LF r^ $ Customer Initial - Estimated Cost: _22. U Down / ~G G Balance X Cuslomer Approval Date I have read and agree with the terms and.conditions on the reverse side. SIGN AND RETURN WHITE COPY Property Line? 1 2 3 4 5 Circle One Licensed • Bonded - Insured Z004 90b'ON 94:TZ £TOZ/£T/80