2054 Diffley Rd - Zoning Permit & Plans
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I For Office Use I
; Permit#:
City of EaVre
j
3830 Pilot Knob Road r c j Date Received: 5/1gily
Eagan MN 55122 I i
Phone: (651) 675-5685~,~ 1 5 ?i114 `
Fax: (651) 675-5694
Email: planning0citvofeagan.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: Q j /Z-,) / Z_P
Information
Owner Name: C/CG C~14
Name: Phone:
6 C2 2
Address: 0--0 f~ef ~G City/State/Zip: 4 Apvl
Contact
Applicant Signature: _ Date: jc
Email address: (j N 000 L/0 i a G Atli a L »1
❑ Retaining Wall <4 feet Driveway ❑ Other:
❑ Patio ❑ Sport Court
Type of Work ❑ Sidewalk ❑ Fence /t9 jr (;4
Description of work: %1 O /3/C) C1c_ y ¢ o L/ X yUe 6XJAX
F m.......... _
Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc.
roved Denied Date: - `(p y Staff.
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-
Notes:
I
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: Staff:
Notes:
Revised Plans
Approved: Yes / No Date: Staff:
_ .w_._...,. m.a
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
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