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4447 Slater Rd - Zoning Permits & Plans For Office Use I qty of Eajan j Permit#: I 3830 Pilot Knob Road I Eagan MN 55122 RECEIVED I Date Received: _ I Phone: (651) 675-5685 L--------------- Fax: (651) 675-5694 MAY 12 2013 Email: planning0citvofeagan.com ZONING PERMIT APPLICATION Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing, conditions. Property Site Address: GaCCk Y1143 .122 Information Owner Name: 1\A CN Name:, C)~L' -_-l`(~l e Phone: Contact 'Address: ~q q7) A A CV(~' City/State/Zip: L! YT Y~) Applicant Signature: qmMm C Date: f Email address: S ❑ Retaining Wall <4 feet ❑ Dri way ❑ Other: Patio 13 Sport Court Type of Work O Sidewalk ~ence Description of work: LAg 111 Lk, Itf 6exle W v f-e n re Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbac , etc. pDenied Date: iJ '15 14- 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 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.ora G:\Building Inspections\PERMIT APPLICATIONS ESTIMATE ORDER Gopher State (1) Call ID #k464 Ticket # _ Nearest Intersecting Street Hudson Page # Township Hudson Grid # Range 10411 Section/Quarter .525 E. Villaume Ave. /South St. Paul, Minnesota 55075 Corner Lot ❑ (651) 451-2222 - Fax (651) 451-6939 Name U E . Date . 20 Spouse Job No. I Address fTC Salesperson' C c n,:i City County State Zip 15S LZ p c1.• "5-1 i ? Y,z~ Employer Home Phone ( ) Picture No. Job Site Address Work Phone ) Terns:-- 10% Down 30% Start Up ' Work Phone (Spouse) ) - Iarsc^-Te jnstaNer or► E-mail: cell Phone:' S 2 -z- - 0 I Completion Customer Initials QUANTITY DESCRIPTION E t~ T 6 a ? c!,6z-- - t , , Puce r- ItW- SA 40L e'~-CA~ Cap t V ca r a Down Payment: Check # Amt.. Date r1-WqWz&K am- DP ❑ PS,❑ BC E] ALL ❑ C~ A SERVICE CHARGE of 11/2% per month (18% Annually) wilt' be applied'. 2-So on all past due balances. MATERIAL AND INSTALLATION 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 ESTUAATF VALID FOR 30 TAX -"r%)C-. ;v ~ 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. TOT+A~ Owner responsible fgr establishing correct properly and fence lines. Any Permits required shag be the sole esp` oonsmay the ovine~.yQwn Efts Z -fl k1ol. of obstructions of every mature which will interfere with the installation of the fence. This contract assumes normal ground corn Monst Shoulolydcky or excessive hard digging be encountered, owner agrees to pay additional costs of such work. Midwest fenced. Mfg. Co. furnish only the eNSteria~ ond~af or *,4i44. this contract. Anychonges made from the above specifications will be billed at Midwest's current retail prices A this order will become binding only upon NGdvmd Fence Manager's approval. - Custcome ignature e Form 2 - Rev. 2-05 Manager Salesperson's Siigrtature Date Copyright®,2005 WWW.midwestlence.ColTt