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4612 Sweet St - Zoning Permit & Plans r For Office Use I (}f City of 11a i n Permit 1-15-1 (0 E I 1 3830 Pilot Knob Road Eagan MN 55122 RECEIVED CC 17 ?Q13 1 Date Received: 10/17 I Phone: (651) 675-5685 Fax: (651) 675-5694 Email: PlanninciRcitvofeagan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. /b/~(•t~~° Property Site Address: Information Owner Name: vo w ri Z G- ~~2 C /rr Name: Z'c2 / SCE Phone: Address: ~~~2 City/State/Zip: g h M,41S'SJ2 Contact f Applicant Signature: Date:/O-/7-/3 -Email address: /7 /s Jfrq t 1 - co ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: { ❑ Patio ❑ Sport Court Type of Work 1 ❑ Sidewalk [Fence Description of work: .a..~-~..,,mm~~_n Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. . . u_. _ w~,~ _R pprov / Denied Date: Staff: Notes: lcr~s~. Property lines to be verified by ntractor/owner. ~r~ ~ /a.KKc~C ~o lac, /'c..~y✓c~Q G Sl ~'S- ,S'3 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: L3,-J~ t3 Staff: Notes: cam. Vjc-e 4-, rApproved: evised Plans 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:1Building InspectionsTERMIT APPLICATIONS\2011 \2011 Permit Applications ESTIMATE / ORDER Gopher State (1) Call ID #464 Ticket # 1 1'13_ Nearest Intersecting Street Hudson Page # Township Hudson Grid # Range 525 E. Villaume Ave. / South St. Paul, Minnestoa 55075 Corner Lot El Section/Quarter (651) 451-2221 - Fax (651) 451-6939 Name Date $R_51 20% c~ SpouseJob No. Address Salesperson City County State A""' Zip P. O. Employer Home Ph6n CPSaJ Picture No Job Site Address Work Phone ) Terms: 10% Down 50% Start Up ' Work Phone (Spouse) Balance To Installer on Completion E-mail: Cell Phone: Customer Initials QUANTITY DESCRIPTION'S s a~ t ? i I l I I I E Prue GV Down Payment: Check # Amt. Date f ZzZ2 Credit Card # Expiration Date f/V DP❑ PSG BC F] ALL A SERVICE CHARGE of 11/2% per month (18% Annually) will be applied on all past due balances. MATERIAL AND INSTALLATION The purchaser shall be responsible for any and all collection and legal costs incurred by Midwest Fence in the event of this bill becoming past due. THIS ESTIMATE VALID FOR 30 T Z ~9 40 Midwest Fence reserves the right to lien the improved property if payment in full as agreed to in this contract is not received. DAYS FROM ABOVE DATE IT(OTX'L' e Owner responsible for establishing correct property and fence lines. Any Permits required shall be the sole responsibility of the owner. Owner responsible for removal 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 & Mfg. Co. shall furnish only the material and labor 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 Managers approval. galesperson's m i nat Form 2 - Rev. 2-05 Manager Signature Date Copyright© 2005 www.midwestfence.com