3870 Gibraltar Tr - Zoning Permit & Plans
For Office Use I
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Permit . Woo
4 City Of Ea ~Il I
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1
3830 Pilot Knob Road I *151
Eagan MN 55122 RECEIVED I Date Received: 1
L----------------~
Phone: (651) 675-5685
Fax: (651) 675-5694 MAY 2 2 204
Email: planninq(-cityofeagan.com
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Property Site Address: ~670 G brzt VH Q f
Information
Owner Name:
Name: 11-~.(C).~n Phone: ~S ZS~ -()9Z
Address: '~~j~'OtYZ~[Y City/State/Zip: y) SAS
Contact
Applicant SignatureDate: 7l
Email address: y- er'sctmd 1 P~ a" e- . Co r,,7
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❑ Retaining Wall <4 feet Driveway ❑ Other:
❑ Patio ❑ Sport Court
Type of Work ` ❑ Sidewalk ❑ Fence
Description of work:
Planning i Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc.
pprove Denied Date: Staff: r•,'~~~~~Ill
Notes: S f c~ ~Ccc ce ,`C No 1 ;ye ,l s i z:.< C Lte .5
Revised Plans
Approved: Yes / No Date: Staff:
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Engineering Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. j
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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.q-o~herstateonecall.org
G:\Building Inspections\PERMIT APPLICATIONS
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' I hereby certity ~'ul.iat thj.s survA'y was preparers by me or
under my direct quj)ervision and that I am a d«7y Regs.st(,rz: i
Land S-L r~reyor Under the "Laws of the State of Minnesota.
LeFfoy Bohlen
!:l;` Registered Land Surveyor r:a. 10795
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