Loading...
4517 Hay Lake Rd S - Zoning Permit & Plans - For Office Use II ZZ-~J Cp® City of Ea I Permit I I 3830 Pilot Knob Road RECEIVED I I Eagan MN 55122 L--- Received-- Phone: (651) 675-5685 MAY 16 2014 Fax: (651) 675-5694 Email: plan ninAR-cityofeagan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Property Site Address: 45 17 d L-0 ke ttm 'I) Information ~~P~ ~ Owner Name: 1 tt I `A Name: Phone: '51:1 144\j kc City/State/Zip: SS~ Address: Contact Applicant Signature: Date: Email address: C C m ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: ❑ Patio ❑ Sport Court Type of Work ❑ Sidewalk Fence Description of work: - ~QW_T Ex 1157 A~A I c e Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbac tc. tos: ~"enied Date: Staff: Property lines to be verified by contractor/owner. 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: Comments A. . , , . w d.._.. _ 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 Nearest Intersecting Street Hudson Page Township Hudson Grid Range .2s l=. villaume.kve_ i South St. Paul, Minnesota 55075 Corner Lot Jl Section/Quarter (651) 4~51~-2222 - Fax (651} 4511-6939 Name !/_%=f Date t Spouse 1 Job No.' Address Salesperson IUG IL'' 141-~f b City ` County 2~ `"`'Mate Zip 3 _ P.0. Employer Home Phone Picture No. Job Site Address Work Phone( ) Terms: 10% Down 50% Start Up Work Phone (Spouse) ) Balance To Installer on E-mail: Cell Phone: Completion Customer Initials QUANTITY DESCRIPTION J Jv r v if 0 S1;e_ d'J s f! G/ C/ Price Down Payment: Check # Amt. Date G,~ G v~.~1~ d Credit Card # piration Date / O DP ❑ PS Cj 6C ❑ A(' ❑ C2 Q O A SERVICE CHARGE of 11/2% per month (18% An Ily) will be applied on all past due balances. M The purchaser shall be responsible for any and all collection an osts incurred by Midwest Fence in the event of this bill becoming past due. IS ESTt TE ALID 30 TA#X' `7 0 ! 42 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. TOTA 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 3 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 Pence Manger's approval. Cu tg a f f Forst 2 - Rev. 2-05 Manager 'Salesperson's Signature Date CopyrightC 2005 www.midwestfence.com