4108 States Ave - Zoning Permit & Plans MAY-14-2914 21:00 From: 6516888024 To:6755694 Pa9e:1-'1
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For Office Use I
Eqd n City of jPermit
3830 Pilot Knob Road
Ea an MN 55122 I Date Deceived:!
Phone: (651) 675-5685 - - - - - --1 J
Fax: (651) 675-5694 RECEIVED L-
Email: plan ninciP-cityofeagan.com MAY 15 2013
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Property Site Address: V S 6'A- t-VAN 04 -S /ol
Information /
Owner Name:
Name: 1 n~ 7 />!n Lj-°'. Phone: 7 ~F/1 ~Jras`I
Address: City/State/zip:
Contact
Applicant Signature: / Date:
Email address:
❑ Retaining Wall <4 feet O Driveway ❑ Other:
❑ Patio ❑ Sport Court
Type of Work ❑ Sidewalk W. gnce A ~ 11 Description of work:
q- 1-4 ( ( n .
Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbac , etc.
zove Denied Date: ~ 1 to ~ staff:
PiroPerty 11nes to be verified
by contraMdownm
Revised Plans
Approved: Yes I 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
42 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
GABuilding Inspections\PERMITAPPLICATIONS
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