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4218 Dunrovin Lane - Zoning Permit & Plans 04/28/2014 20:48 N0.7132 #001 _ For Office Use ' Cit y of Eqfl Permit#: 1 3830 Pilot Knob Road I ' Eagan MNtii122 RECEIVED LDateReceived: Phone: (651) 675-5685 Fax: (651) 675-5894 APR 2. 8 1 Email: planningCmcitvofeaaan.com ZONING PERMIT APPLICATION p Please identify Improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Site Address opbrty:.: . Pr lnfofmatlon Owner Name: . Name: Phone: ~1 ( r _ 6. Address:..r L Ci City/StatelZip:\~G~l`t 'ter,'! w~•-} Contact.. Applicant Signature: _ Date: Email address: ~ C.~~l~{.1 '•a ~lCi kaCc; - J~'V ~'~~1 ❑ Retaining Wall <4 feetpriveway p Other: ❑ Patio ❑ Sport Court hype of Work ❑ Sidewalk ❑ Fence Description of work:- Planni Setbacks hard suffaeevlerag, iW~prelaafld zonl(ag, ft1Z5ttplsetbecks etc _ A prov _I~eAied Date: Staff: Notes: traSe ,e-id At-45 f-, Co i fdaca S. a f &Jcw-& Vt Revised Plans Approved; Yes / No Date: Staff s _ Engineering Grading, drainage, tatllity ea>}eriznts aret~ands;raslbn spnxivl rmpromtsn#'s. lrt 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) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gophere2a eonecall.ora G:1BuildinglnepectionsWERMITAPPLICATIONS\2p71%2011 Permit Applications 04/28/2014 20:48 N0.762 #002 1 OD 4 k r s MEW r 1`1`696 ~•~ivv • W- ~~.~~~~a -1 W.M :3 U= Lei ESTIMATE By: Date: Name: P 0 Moir Address; BBB. B p City: _ GAZip: 55 tZ>..., P ❑ ❑ Phone ( S 1. Lf 51.1 5k.f 7 No Yes No Yes ❑ Phone _ Replace as is W ~Vater'shut off ❑ ❑ ❑ Flares O f7..: : New Cover ® ❑ Stumps/Roots id ❑ Drainage Problem W ❑ Air Permit No O Design on separate copy ,@- Remove Asphalt (Extra charge if over 4") ❑ Sp4T er heads? ❑ Remove Concrete (Extra charge if over 4") © Apron removal 1 car 2 car 3 car . ❑ Cap Blocks (Does not include foundation work) Remove Gravel, Dirt or Sod a- 7 0 (d" W Base, after compaction ❑ Your existing base and ours Ga' Regrade for proper drainage W - Hot Mix Asphalt compacted to - Z t ❑ Addition to drive '-110 Z r - ❑ Concrete, see conc ete form ~~Z Cw S r O Approximate Square feet to (l U 7JL) .000 ff Yr. Warranty ~El k Yr. Asphalt Protection Plan (see details on back) i3 Options: (Not included unless checked and initialed) ❑ Fabric Installation SF~ _ $ ❑ Permaloc LF $ l~ 5 Customer Initial yt"o 3- o- r R-, f Ss Estimated Cost: Down Balance _ CuslomerAppmal Date I have read and agree with the terms and conditions on the reverse side. 1 SIGN AND RETURN WHITE COPY Properly Line? ❑ Compd ❑ Subpd i 7745 2nd Avenue S • Richfield, MN 55423• Ph: 612-866-8836 - Fax: 612-866-8078 - www.richfieldblacktop.com Licensed - Bonded • Insured