4117 Pennsylvania Ave - Zoning Permits & Plans
For Office Usa
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City of EaEau I Perm t #
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1
3830 Pilot Knob Road
I Date Received:
Eagan MN 55122 t__--___-----.--.--.- -
Phone: (651) 676-5685 RECEIVED
Fax: (651) 675-5694
Email: olanninplacityofeagan.com JUN 0 6 2014
ZONING PERMIT APPLICATION
E] Please identify improvements on a scaled site plan drawing that shows lot lines structures
and existing conditions.
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PROPERTY Site Address:
INFORMATION
Owner Name: I 7, 1
Name: -F i cc G' lJ5 ' ~1 g t b kk,
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Address: 5 y \n/. fn "Jity/state/Zip" 5►KJrE' t .
CONTACT.
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Applicant Signature: Date-
VV,
Email address; t`t l C ~'c S - W
❑ Retaining Wall <4 feet driveway O Other
TYPE OF O Patio ❑ Sport Court
-WORK C3 Sidewalk ❑ Fence
Description of work:
PLANNING :Setbacks, hard 'sur ace COvera e; horeland zoning 1510:zone/satba s, etc.
pproved 1 enied Date: Staff:
N Property lines to be verified
by contract downer.
i
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:
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Revised Plans
Approved: Yes / No Date: Staff:
COMMENTS
I
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.- pherstateonecall.org
GABuilding InspectionsWERMITAPPLICATIONS12011\2011 Permit Applications
A.C.T.. ASPHALT SPECIALTIES COMPANY
WORKSHEET NO YES "AME '2%q t Z ,cg L e-;L>- l)-3 V
TREE STUMPS El ADDRESS
TREE ROOTS O y/ 1 -7 rn/ ✓CITY - ZIP
SPRNKI.ING SYSTEM O HOUSE 46-74 6.4 y P%•~'
PrIO E WRES O
UCTRK: WIRES O HOME PHONE WORK PHONE
CABLE O 4oz / -A. 840 - 8 3'7 J
WATER SHUT OFF ~ APPOINTMENT LEAD SOURCE DATE SOLD
DRANAGE PROBLEMS o O r
GRADE CHANGE O i ( 5 °Z 7
OVER+M UNES IO T LEADS
TREE LKW O APPOINTMENT ESTMATOR
ROOF OVERHAND Q f
CHAIN SAW E] PROPERTY LINE DISTANCE ORCLE vAP CO-OD
BLOCK REPAIR O O CROSS STREET Ey9 TIME S e n
CALL GOPHER Va S f~
EXCAVATE No YEs
BASE 1 f REPLACE AS IS
9 n ~1 a FLARES ❑
EJB TYPE OF REMOVAL
JACK / AC 1) 1
RAS ' GRAVEL
HAMMER~r \ ( - - -
EXTRA 1 alb 1
TRUCKS o NCRE7E OTHER D,:Z
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SAW CuT SCHEDULER: PG SIP ❑
EXTRA TRK
LOADS IN
~Q, i ❑ OKTOUSEBOBCAT
REPLACE (Y 1 ORTRUCKINYARD
WITH CUSTOMERSEPESPONSBLE
' FOR ANY YARD DAMAGEAND
L RESTORATION
CUST SIG
SIDEWALK
REGARDING THIS INSTALLATION,
EXP ~~~c /o CA✓ L OR TERMS OF THIS PROPOSAL,
IS EVERYTHING YOU WANTED
AiC IN WRITING? IF NOT, PLEASE
PUT IN WRITING AND ATTACH
SEALCOAT CUSTOMER TO PAYANY
CON REQUIRED PERMIT FEES
SEALS / o T
• s250ADDITIONAL FOR MAJOR
BLOCKREPAIR
CUST $IG
COMMITTEpTOEXCELLENCE
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