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1874 Bear Path Tr - Zoning Permit & Plans r - - - - - - - - - - - - - - - - -I I For Office Use I o f I I City of ~Permit v ~lj I I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5685 Fax: (651) 675-5694 Email: planning@citvofeaaan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. 1~ 11 P rte, 1 Site Address: -A- Property Information , Owner Name: Irl~+ ~lGiv~e Va rc5 U......... Name: ~lCiy~~ I~CU~~ Phone: (P5(-45`F .2 a7 Q- Contact Address: 71 {°c~cr t'~~ tnT~ City/State/Zip: Z. i s Applicant Signature: Date: Email address: 61 ( bmc,05-~- ncE r ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: ❑ Patio ❑ Sport Court Type of Work ❑ Sidewalk M Fence Description of work: Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setba g s, etc I =prove Denied Date: 1 ~ Staff: . Notes: Piny Ina to be Velftd bY contraCtWowner. Revised Plans Approved: Yes / No Date: Staff: . _ _ .m,.., . ~ 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.org G:\Building Inspections\PERMIT APPLICATIONS\201 1 \2011 Permit Applications l ESTIMATE ~ ORDER Gopher State (1) Call ID #464 Ticket Nearest tntersecting Street i Hudson Page #Township C Hudson Grid # Range 525 E. vllaume Ave. / South St. Paul, Minnestoa 55075 Corner Lot Section/Quarter (651) 451-2221 Fax (651) 451-6939 Name Date 20 Spouse ! Job No. Address t Salesperson City County State Zip `T ° P, 0. Employer Home Phc,!) J c52? ~;7of?`s Picture No. Job Site Address work Phone ( ) Perms:. 10/o {Mown 50% Start Up Work Phone (Spouse) ) Balance To Installer on E-mail. Cell Phone: Completion , ~9) Customer lnitilh~ l.J" J QUANTITY OESR IP710N fwd' C 777 / v p Pt , f Down Payment: Check # Amt. rDe~ p~ ~~rf~~ i~ DPJ~< PS BC ~ ALL A SERVICE CHARGE of 11/2% per month (18% Annually) will be applied t on all past due balances. The purchaser shall be responsible for any and all collection- and legal costs MATERIAL AND INSTALLATION incurred by Midwest Fence in the event of this bill becoming past due. THIS ESTIMATE VALID FOR 30 TAX Midwest Fence reserves the right to lien the improved property if payment DAYS FROM ABOVE DATE in full as agreed to in this contract is not received. TOTAL Owner responsible for estobhshing correct property and fence lines. Any Permits required shall be the sale responsibility of the owner. Owner responsible for cemovol of obstructions of every nature which will interfere with the installation of the fence. This contract assumes normal ground conditions. Should rocky or excessive hard digging be encountered, owner agrees to pay additional costs of such work. Midwest Fence 3 Mfg. Co. shall furnish only the material and tabor specified in this contract. Any changes made from the above specifications will be billed at Midwest's current retail prices. This order will become binding only upon Midwest Fence Manager's approval. ~"_rS.t o r Sig t Form2-12ev.2-05 Manager person's Sigirature Date j Copyright© 2005 www.midwestfence.com