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1296 Balsam Tr E - Zoning Permit & Plans � For Offic9 Use � � I City of�a�a� � _ ' /���� � RE��I V�D i Pertnit#:_ I 383G Pllot Knob Road � , ` i Eagan MN 5b122 �u� ? � � I Date Rece�ved� � / � Phone:(661)675s685 ��,� �-__,�._�___,____ � Fax:(651)676-6694 �W J Email: lannin cit ofea an.com ZONING PERMIT APPLICATION p Please idantify improvaments on a scaled site plan drawing that shows Iot iines, structures and existing conditions, �PROP.EF�7Y Site Address: I r ,..,.,..,.,. iN�oRM�#�ioN ID�r1 a 1 S� Owner Name: d ( °°� : - Name: �� � 'eCl� �� Phone: � � . ... . .. . .......... �: .. .. . .... ... . ,.'�,4.r.:.:_...�.�'.- ., a.; . . f.'.:��':;'Hc.:'i�:�'i.--��;. .'.�: _... ... ,.-:.,,.:;;.:.�.::<�..,,: Address: � CitylState/Zip: � e 1 �� ;.:�.ONTA'CT;:' *'` - '';;�A Appllcant Signature: Date: �,� � � Email addr�ss: U-�-i'1 Ce �.'S t`� .C,.C� ❑Retaining Wall<4 feet ,,�Driveway ❑Other. TYPE-OF. ' : �Patio ❑Sport Court �� ❑Sidewalk �Fence 1 I� • � �� ' 1IVORK�•'<:':,,, .: � .:�:...-,�:- _.�: . . C�l _ �: .: ....;>r ...:: ......:.. Description of woric: � V� e I (� °� (5 ✓� \���C.l..J . ...... .._._................:........:..:.:. ......:...... .....:. . , .:,._,.,...:... _ . .r.,.....:: . ...... �. .. .. . � . .....,.. ,..._�:�� , .. . . ..�. .., ..._......_... .,..��.,,.� ro ..:�:�,��:�� .. ... , ,. ... ...�,......... ..�......:......:. . .. ....;. � .....:�.�.�.::.r. _ ' .. . i, .: . . . �. , �. ....... �..��..:...�. ; ...:.��, .' :: � � ,y,.:.';:'.:'.....:':i'A:!':_:.�.:s:::�l�::'.."::..:;.'.�:�"'.....�.v�.�.,:.�,.�...�:.�;..:�.:.�.:. ,.. ... .,.:�•�. ..,. P:LANNI�I,G.::.:::�:.��tbacks:h�rd surfa- 'co � :.,.;--,. �;:, . . �:,�� ,:.:,._::.:°.;-:�:::��:''',:,,,,,_ ,,, r�s V rag�,Lhdreland zi}'nj.ng;-tslu�#zoYi�/�$�(iacks',•etC ,,, ..�. �:.w-_ .,. _ . . , .. . . . .. ,:. ....., . ... , _ ... � . . . . , .. . _.,._.. . . :� . . :.�... _ ..��- ,., . , , ,..,_,. . ,.,. ....,.._ . ... ,,,...... :: ,..:.:,.....;.,. Approved/D nled Date: -��r SEaff: G� �!'l � '��e-� `I S �i.-� Sl�o,re_l!�.�c�r U�2.V(� ! S"f� c�-' � �r t s o� L� �o,-X�� v►��w, �� v��..-�. e r v,v u s ;S a 5 / G-X'• w��.-4-�, �. .�..J. '�5 � � -��-_ o G 5 Revised Plans Approved; Yes/No pafg: Staff: .............:....:::�,_�:...,,,,.. . .... .. . ...:.:.. .:... ,........ .. ENGIN�E._...... .,� .�... . ............. :.� - _ - _ - �2tN . ......:.:..:.�....-: C�.. Gta . . .:,;...:.: _. ..:. .,._ , ,:. . . ,. . . di �. , . . ..... .......:: .. ....: . ..: .:. . ......:. . ng;:dc�.nag�a:;atrh :���sements,.;wet�ari�tls.erdsion.coritrol'�i� `rovem n �,.....:-...: .. . . .:. : . ....:. ;5..., � ,e. ts ih�.`tlie`�Rlght-o`f-1Nay;;$.tc:��.';. ' . .. ,,.... �Y.. .. . . .,: ... . . .... ..,. „ . . . .... � r1t . Approved/Denied Date: Staff: Notes: by contractor/owner. Revised Pldns Approved: Yes/No Ddte: Staff: ,::.- .. ;COMMEf�TS.', '- - ... : = CALL. BEFORE YOU DIG. Call Gophel'State One Call at(651)454-OOU2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive Iocates of underground utilities, www, o hersta n call.or �� � G:\Bul�ding InspectionslPERMIT APPLICATIONS120111Z011 Permit Applitalions � � ���� � A.C.T.- ASPHALT Sp�CIALTIES CQMPANY W�KS� � �S �„� --}— � 1 �� �A r Co rRff sru�s 4 o nooR�ss '�� �S�4 °� TREE ROOTS [7 D SFRNNfLING SYSTEM D ❑ NOUSE � /�`� �( PHONE WIRES C! d ��l\ ELECTRIC IMRES ❑ ❑ � i�RIOI�E � WOFK PHON� c�e� o o �QCj(. ��2-'�y �.�0 WATER SHllT OFF ❑ 4 r,vvpiMMENT �E�p SouRCE v�rE so�o DWIqVAGE PRCBLEMS O q C��I+DE CHM�Cf 0 O �vir,c O ❑ � ov�w��o ur�s o o � «o r TREE LIMBS O q ROOF O�ER►W�G O O ��►'n�� EST�toq cwuN s�w o n �o�arY ur,�o�sTU�cE aRa.� I��� � MAP CO-OD QLpCK REPAIR ❑ � CROSS STREET—�('�t$1�.� L'N - TiA�E //�/A ���� r �73� � �xcAVAr� . . . . . . _ . . . . . . . . . �av�c�,��-.� sr� ►� Y� & BASE • • � - - • REPIACE AS IS ❑ /� �re . . . . . . . � . . . . � FIARES � � , 7YPE OF R�MOVAL .u►cK GG�+G Y-�'�i°' �G� ' ' ►�MERC► . . . . . . A� GRASS GRAVFL exrw► -- T��� � • • • • • • ;�� • . CONCRETE OTNER saw cur � � � � � � � � ' � � � � � SCH�OULER_ PG S!P ❑ EXTRA TRK • ✓ � . , . . • . . . . . LOADS IN ��- , . . . , . . . . . , � ; : . . . . . . . , ��V . F . . . . . . . _ V . • � • - - • . . . . , v��1� � REPLACE L�` I� OKTOUSEBOBCAT W ITH . . . . . . . . . . �� OR TFiUCK u�Ya�v . . � Isne�to be v�rittsd, � . a.15TnA�ERSISRESPpVSIBLE " prop �Y ' FpRANYYARDpAMAGEAN� � . , . . . by cc�n�ractarl�wn�r. . . . . F�ESTOw�not� �O l. . . . . . . . . . . CUST SIG SIDEIHAIK . . . • . . . . . . , REGAR�ING THIS INSTAI.LATION, �P OR TERMS OF THIS PROPOSAL, / �/��' ' 15 EVERYTHING YOU WANTED ( ac , , , , , _ /� (O , , , , IN WRITING? IF NOT,PLEASE PUT IN WRITING ANp ATTACH SEALCOA7 � � • � • • � • • • • • ' CUSTOMER TO PAYANY coN , . . QUIREDPERMITFEES SfALS . . • . . . . �. . $250ADDITIONAL FOR MA�OR � , � . . . . . . . . .� , . . . . . . BLOCK REPAIR (ra '� % COMMITtEQTO EXCELLENCE CUST SIG -� �` -----�-- --- �.,. e�oa PG 2 OF 2