4268 Beaver Dam Rd - Zoning Permit - - r - - - - - - - - - - - - - - - -
I For Office Use
• I J ll I
Permit Z~! I
City of Eap
I
3830 Pilot Knob Road / I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5685 - - - - - - -
---------I
-
Fax: (651) 675-5694
Email: planning(a)cityofeagan.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 #1162 "INFORMATION
Owner Name:
- Name: Phone:
0 2-
Address: ~Z(O City/State/Zip: Q CG(7
CONTACT
t zs e Applicant Signature Date:
Email address:
5 ,
❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: S/Y),9 1' S6
TYPE OF ? ❑ Patio ❑ Sport Court
WORK' ❑ Sidewalk ❑ Fence
Description of work: ,g s S L O
`PLANNING Setbacks, hard surface coverage, shoreiand zoning bluff zone/setbacks, etc.
proved nied DatStaff:
IICC 1 !S
Notes: The owner/~.pp
responsible for compliance with PropertY lines to be d
applicable construction codes. by contractor/owner.
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 Plans
Approved: Yes / 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.orq
G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Application!
•
P ~rtY Ines tD be VWW9d cixiuacwawse~
i
The owner/applicant is
_ _responsible for compliance with
applicable construction codes.