4172 Diamond Dr - Zoning Permit & Plans
For Office Use
Permit e: 7
I
City of Ea p
,
3830 Pilot Knot, Rosd l
(Eagan MN 55122 -Date Received----------
Phone: (651) 675.5685
Fax: (651) 6755684
Email: PlanninQ69-ciWeagan.com
ZONING PERMIT APPLICATION
Please identify improvem nts Ta~Taled site plan drawing that shows lot lines, structures
and existing conditions.,
O`
Pr,pelty Site Address:
_7cl DIAMOnk
a"n' i2
Owner Name: CJ e ~l~
Name: Fr 1 K Ci AA, v~, one-
V1 ~ ^ ~
Address: /State p: P044 A
irolitl~Ct
Applicant Signature: Date:
17//
Email address: ® (1 alk Q r e t?
❑ Retaining Wall <4 feet 0 Driveway O er:
a Patio a Sport Court
'!~ype 1Alorlt: , p Sidewalk ^ Jl Ci e.AEence
1U
4t 1 < < ~
Description work A C e- A qc r
Q.
Planning 1 hard surrace coverage; ehomlohd zo►dng, bluff zrctreisetbecks, etc.
proved J nied Date: Staff:
Notes: u ltf~~~S Affl~tca.~fi
Revised Plans Pi6FeFFy nes o verified
Approved: Yes / No Date: Staff: by contractor/owner.
Eegineecing Grading, drainage, u5tity-src~ ehli, vweti8nris, eroeron control, itnpr9ouemertts in the Right=ot 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) 4540002 for protection against underground utility damage. Ca
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ESTIMATE / ORDER Gopher State (1) Call ID #464 Ticket #
Nearest Intersecting Street
Hudson Page # Township
Hudson Grid # Range
525 E. Villaume Ave. /South St. Paul, Minnesota 55075 Corner Lot ❑ Section/Quarter
(651) 451-2222 -Fax (651) 451-6939
lame Date 20
pouse I+t}Z- Dt AV%1%- rfQ0 DY2-r Job No.
Adress _ArCrt.A.0J I tvvN 53-1 LZ Salesperson OtA
.ity County State zip '11110. ('::6 /_4-2-r-~Z`"f Z
imployer Home Phone( ) Picture No.
ob Site Address Work Phone ( ) Terms: 10% Down
PS-M +O Work Phone (Spouse) ( 1 '561Y ,e
Balance To Installer on
:-mail: Cell Phone: (d QV I- Completion
Customer Initials
QUANTITY D
ESCR1PTION
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,rtvd~e_.-s-k Price
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Down Payment: Check # Amt. Date f5 111 t w„o4 0 T
Credit Card # Expiration Date rF-L!
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DPI PS E] BC 0 ALL Y I4I -I
A SERVICE CHARGE of 11h% per month (18% Annually) will be applied ~R~ W.- _ 5~ o
on all past due balances. MATERIAL AND INSTALLATION C;-4 CA-4;; t, "
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 90 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 few 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 nahsro 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 cosb of such work. Midwest Fence 6 Mfg. Co. shall furnish only the moss rial and labor specified in this contract. Any changes made
from the above specificatiom will be billed of Midwest's current retail prices.
Thin order will become binding only open Midwest Foam Manger's approval.
Custo Date
Form 2-Rev. 2-05 Manager. non's Sig a Date
CopyrightO 2005 www.midwestfence.com
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