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646 Witham Lane - Zoning Permit & Plans For Office Use Ciq of LPermit 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: Phone: (651) 675-5685 L----------------'Fax: (651)675-5694 Email: planninq(r~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 INFORMATION Owner Name: Name: au r•'1 ~;~~jo2! C o~~,l;~ Phone: 4,i 2~3 CONTACT Address: -/3p~ City/State/Zip: je~-3-:~7 ~F ieq. Applicant Signature: Date: 4P -le/ Email address: 1;3 : " • I Cr%/'1 ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: TYPE OF ❑ Patio Sport Court WORK O Sidewalk ❑ Fence _ Description of work: P,LA G Setbacks, hard surface coverage, shoreland zoning, bluff zone/setba , tc. I Approv enied Date of Approval.: Gj Staff: Notes: II Properly tines to be verified by contractor/owner. Revised Plans Approved: Yes / No Date of Approval: Staff: ENGINEERING Grading, drainage; utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved / Denied Date of Approval: Staff: Notes: Revised Plans Approved: Yes / No Date of Approval: 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.org G:\Building Inspections\PERMIT APPLICATIONSX2011\2011 Permit Applications a~yp„ 1 5713 DUPONT AVENUE SOUTH' L,p r~C BLOOMINGTON. MINN. 35420 y. - r• 8M2084 LANG SURVEYORS Survey for:* DAHLE BROS., INC. B s G' rb d3l 63a I-on "o 833? v ~ _ a LS~rv~~a . o w 3z Q ~I ? 8atl- K ~ M , 4 ~ g 4 4~/~t1 y8 ~,u g o ",8 ~i \ oN Scale: 1 "=30'. - 3s- o V ou - t~ 4 83/q Property fines to be verified . N e ° 14? by contractodowner. 83Z2. S.S a CIS - 1 /S,S' Bz8- ff $r 46 ~ ~ /roY! DESCRIPTION: I IS Lot 2, Block 3, COVENTRY 83z6 PASS 2ND ADDITION 'a ! + I 1 Proposed Grades: ~ Top of Blocks o Lam.- axz= Garage floor _ 8 l= a. d !J. ~asc Basement floor 6z7S NOTE. D ' Circled elevations are proposed, others are existing Arrows denote direction of drainage. Pa ReVa REQUIRED £RING DEPT We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any,- thereon and all visible encroachments, if any, from or on said land. Dated this 16th day of September 1992 oy gnni!~ma License o. 01 ZBC~ - 66 '