4905 Slater Rd - Zoning Permit app
r - - - - - - - - - - - - - - - - -7
I For Office Use
E C1 it ty Olf aV Permit#:
I I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5685 -
Fax: (651) 675-5694
Email: plan ning0cityofeagan.com
ZONING PERMIT APPLICATION
E] Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Property Site Address:
Information
Owner Name: r ' YVg12 SCVu )KC-
Name: V)h Phone: ~S 20 1 ~
Address: 3 s3 l~r~Gt S City/State/Zip: nVy ~S a 6
Contact
Applicant Signature: Date:
Email address: 1 (kA+ GWY)
G!~Aop
❑ Retaining Wall <4 feet ❑ Driveway ❑ Other:
EI-Patio ❑ Sport Court
Type of Work EI-Sidewalk ❑ Fence
Description of work:
L
Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc.
pprov~Denied Date: i Staff:
i No`Ces.
Revised Plans
Approved: Yes / No Date Staff
qEngineering Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc.
Approved / Denied Date: Staff:
Notes:
Revised Plans
IDApproved: Yes / No Date: Staff:
:omments
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\PERMITAPPLICATIONS\2011\2011 Permit Applications
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