4257 Amber Ct - Zoning Permit & Plans
For Office Use
5 5
0
11
a I Permit
City of Ea on I
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received:
L - - - - - - - - - - - - - - - - I
Phone: (651) 675.6685 j;
Fax: (651) 675-5694 I'
Email: planning(Mcityofeagan.com
ZONING PERMIT APPLICATION
is
❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions. j;
Site Address: Property S512,2-
Information
Owner Name: K i
f Name: r Phone: (D S! Z l~lQ
Address: y~ j ,1 t/t CitylState2ip:
Contact
Applicant Signature: C!Z WWII-, Date:
Email address: Q s/ ~~~~J, lf~
❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: ~l
❑ Patio ❑ Sport Court IS I
Type of Work' ❑ Sidewalk Fence
Description of work:
f'IZ~J
Planning Setbacks, hard surface coverage, +shoreland zoning,' bluff zonelsetbacks, e
pprov enied Date: ! Staff: i
Notes:
Property lines to be verMsd
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:
i
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.org
G:\Building Inspections\PERMITAPPLICATIONS
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ESTIMATE ORDER I R5 5q3
/ Gopher State (1) Call ID #464 Ticket #
Nearest Intersecting Street
Hudson Page # Township
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Hudson Grid # Range
525 E. Villaume Ave. / South St. Paul, Minnesota 55075 Corner Lot Section/Quarter
(651) 451-2222 - Fax (651) 451-6939 { v L & A
Name k i -Zn Ll (z= IZ ` ` Date 20 1
Spouse Job No.
Address Salesperson yv. All .
City County State tin hl Zip
Employer Home Phone( ) Picture No.
Job Site Address Work Phone( ) Terms: 10% Down
I oti1 _ a ! c ^i12- .C ~L l= t_i2c~~ Mr,l 50% Start Up
Work Phone (Spouse) Balance To Installer on
E-mail: Cell Phone: Completion
Customer Initials
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