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4244 Sequoia Dr - Zoning Permit & Plans 07/01/2014 14:49 N0.939 tt001 � For Office Use � T i `,c � Cl� Of�� �Il ��;. ;--I V G(.. � Permitii; � �J j Y � � , 3830 Pilot Knob Road ,f(�? ` � 20�� � � Eagan MN 55122 I Date Recelved: � L-------------• ...••—� Phone:(651)6T5-5685 Fax:(651)675-5694 Emall:plannina c�citvofea4�n.com ZQNING PERMIT APPLICATION p Please identify Improvements on a scaled site plan drawing that shows lot lines, structures and existing condifilons. -. ,.....::;:.:: . ------.._ ..�.____ ....... . , - :.....;:.-..:::::.::.. .:... t Ad 1 � � ..,.,.,.., ' 1 � . �R���rty `.:�:; s�a aress: -- � � �- -- � �.:informatiorr�:,: ' I ,�1rn �. ��� � ...� , .. ..:....,:.,.:,: . ;...:. Owner Name: cV�� l TVL �j ; . .. ...__.... . ...::°,.... .. Phone � �.. , _... -..::.. �/� -:,:...,; r� ` : 1 + C ,...... . Name• ';\�C.`1 � Cc`��'�� '��. ����ri _.... . � .� � � "c.jr.� . . , — .,. , - c_..=�, . . �, . 7 ��' � � 1� ;�-�� � � �:��:���:� ; J. �f > � . . Address: � (� ty tate/Zip: G 4 _� ,,... � Ci /S K .. �.'�t1'l�fof �. _., _ .. � .,.. � •• �"~�_.' � . J ` - : :: ApplicantSignature: � _ Date:� l � . Emaii address: ���� ''�� �x� � �t�:1�,� ...�L[���1�,�CC��Z'� .�... > � �, . .. ,., ,., „;..,,, . .. t ' ............... . . ,. ----' ' ' ` '`'''':' `;;::'1 D Retaining Wal!<afeet �;priveway O Other. ... : ,.;. ::,::; O ;,;::: ,.•.:...:......... Patio ❑SportCourt . . . ��p!�!�f��Q�,: ❑ Sidewalk Q Fance :::............ .................. . .. . • :: :` Description of work: ... ..: :.. P1�11rtilt S�tb��ks,nar����f��ccv� e :s6�prelaR�zornng,•b6utf��irie���tba�ks, �' . , � ::.: ....:........................ ........................i.....�....; ..�.........Y` . ....... . --_ Approve Denied Date• ..� � Staff: , __.. .. .. . _..... ... Notes: ' � i Ptoperh►Anes to be�erHied . by contractodowne� Revised Plans �� ��� Approvecl: • Yes/No Date: Staf� - ....�u.�«,...�.�m�.�......,.,..�...�..�,»..�-„.. �...._ .._ „ ::•::_._::::::. -E�g�neer�n� r Grad�ng dr�l�sge �qi�ty a�s�rr��n�s�i!W+�tlarrde,eroi�wn control,imprwva�f�nts In 4he Right�.bf�Way,etc�,~Y,^ ... . .. . .... .. .... ..:. �� ._.�.� _.:�:�_..:_ .. :. ... .. ��, .��.�.NI{11Y.WW��4rr, YWIY 1"� Approved 1 Denied Date: _ Staff. _ __ Notes: � ' � Revised Plans ��� � Approved: Yes/No Date: _ _ Sfaff: ..........., «., . . . . C6m��nts-.: . . � .. ...._..,..__......__..._E CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protsction against underground utility damage, Call a8 hou�s before you intend to dig to receive locates of underground utilities, www_aoaharstateonocall.orct G:IBuIIQIng lnspections\PERMITAPPIICATI0NS1201112011 Permit Applicafions 07/01/2014 14:49 N0.939 #002 i� �� � �� -� The Twin Cities Paver of Choice — � � � . • • E�TIIVI�ITE gy: �(( � # 1�.� -� �� �� ���' - c:� ��r � o�� �i��!�:;; f . �; �::..:�; Date: i7. ��,.� I �p_-�a ❑ ����,- I ;F,r;,: S�___._ _.;,�,.. � �� �� � �� P o ::: I �:. Name:,( �^ IZ� ` '��..._ ;���� - � � �� ;.,c :�;� 'll� � Address_ � ���;�;'�;�.. '�� �..��' L u ::;, _ �8��' , '- B ,. .. O ,.. i I��:,;:�' . .� � :� City: �f'°�7 �i�7,) f 1'r��� Zip�55 ---._ P . . U ll�I � � ❑ Phone --- _._ .._ . /` {��^) -�- `� No Yes No Yes ' �.1 Phone l.�� � c�`! ._ .��� Replace as.is: �1./ ❑ Water shut nff �!^ 0 � u Fiares �✓ lJ New Cover Ct1•'` ►J �, �-� SlumpslRoots;. O � �/ Drainage Problem �D�' C1 , ;; .. _ . .. ....— � O Permit Yes I �N�� ❑ Design on separate copy (��'f�emove Asphalt(Extra charge if over 4") ❑ Sprinkler heads? Q Remove Concrete(Extra charge if over 4") O Apron removal 1 c2r 2 car 3 car � U Cap Blocks_(Does not include foundation work) ' Q�-'{� ove Gravel, Dirt or Sod �'#-��8ase, a(ter compaction O Your existing base and ours C��C���7 �.���,;� � ; �egrade for proper drainage �� � _ � �j�-�Hot Mix As halt compacted to •�- __ � ��, � I� �Addition to drive • . �l �� � u Conerete,see concrete forrn � . �l,��� � � '�,; ¢I�Approximate Square feet � � � �5 (� ��,� �� � � ; @�°- ..� Yc Warranry �EF"� �-j� � I�--�i Yr.Asphalt Protection Plan (see details on back) �(� ��i� � , Options: (Not included unless checked and inifialed) � �����I I � ,. l.l Fabric Installation SF $ I ❑ Permaloc LF �.� $ �(.v�� ��C:% '/) �l��� . / l� --� (.� f Customer Initia.l �•f�,L % �.� /� -` .'����� / Estimated Cost: � � ��� ;li ?-� � - � Oawn •� 1�,� ;� �.,� � '�� ,c�� ,a.,'� ~'� _. Bal ce � �' �.'' ✓ „ .�... Y . ` 1 � � � �� - � �: � Cusbmer p ro I ate ' I have read and agree with the terms and r,ontlitions nn the reverse side. SIGN AND RETURN WHITE COPY �Property Line? O Compd u Subpd � � 7745 2nd Avenue S•Richfield,MN 55423• Ph:612-866-8836 • Fax:612-866-8078�www.richfieldblacKop.com � Licensed • Bonded � Insured