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4478 Fawn Ridge Tr - Zoning Permits & Plans For Office Use I Effi- I I Permit City of Eayn r p ' I REC~~~ I C ; I 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: Phone: (651) 675-5685 APR 3 214 Fax: (651) 675-5694 Email: planning(ftityofeagan.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: Information Owner Name: ~ol(`Q) Nrj J Phone: ~o~ 1! 7 l 7 I I, I Address: 79 1- r, City/State/Zip: I'\ E G C Z Contact Applicant Signature: Date: l~ 3Q Email address: - u, (-U ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: ❑ Patio ❑ Sport Court Type of Work ❑ Sidewalk ~14 Fence Description of work: Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. 2 p r enied Date: Staff: Notes: 71(~t7.'d i S s , Property lines to be verged J fio ~cr+~ S d-e eAsewc t.T . by contractodowner. 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 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.ciopherstateonecall.org G:\Building Inspections\PERMIT APPLICATIONS ESTIMATE / ORDER Gopher State (1) Call ID #464 Ticket # Nearest Intersecting Street Hudson Page # Township Hudson Grid # Range 525 E. Villaume Ave. lSouth St. Paul, Minnesota 55075 Corner Lot Q Section/Quarter (651) 451-2222 - fax (651) 451-6939 20 l ~ Name Date .t Spouse Job No. Address f i-G r ~wr~ Z s i.~ C zP ? 1 Salesperson y r ~yt City County State A tJ Zip S S ! Z W4h 5 I `4 2 Employer Home PhoneC ) Picture No. Job Site Address Work Phone ( ) Terms; -Q%_Down 50% Start Up Work Phone (Spouse) ) c/ Balance To Installer on E-mail: Cell Phone: Completion Customer Initials QUANTITY DESCRIPTION E VV C- i r, t ~1 s Li _ ~TM ~N j,~ • r f 0 rt ~ f • ~ ~ i t 1-~- ~ I ( S 1 Q Y, t• ' 1 r Price `17 A2 -0-( Q_ -+)L (J oU 1~2 -e Down Payment: Check # CPS Amt.' a Datew 7- -71 r ~ 79 2 3 j DP PS ~ BC ~ ALL ❑ ~ « ~ ~G, r? ~ t' c_•..~ ~ ~ 51-IIS Al A SERVICE CHARGE'*of It/z% per month (18% Annually) will be applied ! on all past due balances.. MATERIAL AND INSTALLATION r.r~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 30 TAX -A c 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. TO Al g 1 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 8 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 Fens Massager's approval. Customer Signature Date Form 2 - Rev. 2-05 Manager Salespersons Signature Date Copyright@ 2005 WWw.midwestfence.com