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4117 Pennsylvania Ave - Zoning Permits & Plans For Office Usa i City of EaEau I Perm t # I I 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. 1 Li ?cr S ~ PROPERTY Site Address: INFORMATION Owner Name: I 7, 1 Name: -F i cc G' lJ5 ' ~1 g t b kk, ` e J Address: 5 y \n/. fn "Jity/state/Zip" 5►KJrE' t . CONTACT. /~U6 ~T 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: t 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 uT 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 PG20F2 . 8!w