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1303 Balsam Tr E - Zoning Permit & Plans -----------------, � For O(f�ca Use I City of�� aIl ; Pe��t#: ���S- � ; � , 3830 Pilot Knob Road \, �7 � Eagan MN 56122 R����V� I Dats Rscelved: / . -� � Phone:(661)675-5686 `�-----W--------_—� Fax:(651)6755694 ��� Z � ���� Email:planninp(a�citvofeaqan.com ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. , I'���;��.ilY:,1:::::..:.::.....:::.. .�.. � ;p�O���� Site Address_ �6 5(� :�INFORMi4;7Y0N ` Owner Name: ��r �Y Qird 5 Name: � \�' ��'Phone: �p5'� `1� )� '.COI�:�.'``�Yi`' Addfess: V City/State2ip: � ��� , ..... , . ,..,: : • �:.; ,.. - Applicant Signature: Date; � _........ ': Email address: „ �Retaining Wall<4 feet �Qriveway ❑Other: TYPE;�,aF �Patio ❑Sport Court •:':W.ORK::�`.�;,;�,:,�,;.. D Sidewalk ❑Fence ��� ��Z.� , - ': Description of work: � ( �n d,(1�/�� .....:..........:�::.:........._. ,. ,,, . . „ _. .: `.'I?�ANNIN�. '$�tbacks;h`ar�l"�surface coverage,sY�o'1''�I��ttl z�niri .til�ff�i `e�t"b2c:KS�'�iC_':"'::. ' - ,' �,'' . :. . _ ., �, �.. ., .... . ........ ....., .. . .. ._ ,. Approved/ enied Date: '�`�'�/y StafF o BS: �,•z,�e,�,�-y i s ��-, Sh o r�t�.��. � �tre.v1�.-�/ �i s-�-�`c� o� ✓I So v�. l..o�-tCst.. �M�X i+/�u w�- i vw p ev��ou s � S a'�%. �'l�X • (,J�ct� �. O.c,J. t S �a f- • C� c�s ro Revlsed Plans Approved: Yes/No Date: Staff: _._._.................._...................�,. ... ........... .. ,:..,.: „�..-...:.:..:•::::.:............ .�, ........_._...._.._...... -.:,.. . _.,...... ...... �.....................__.�... .. _............ ,:...., , . _ ..:_.��.. . ,.., ,........ .... ......_........n-., t..�...i.......................... ...... ... ........ ......................... . �, . .. ... . . .... ................ ......................-........_....._.. - - _... . ........... ._..._.._............,..:�.::r.:a::::�.�....�a,��:':::,'�fl:Jr;.::;_.,:::;::..-:••.:>._: . . ._..... .. �.., ...,. . - 1,.. .:. .. ::�.: .�: ..:..... . - - ...........::��. ,..ENGINE�f21 .. .... ,, , . ,:: - ;....... ... . .:.. S,; , _ , N.Z� .. ..Crad� ..,....::�:.,._...:.. ,,:.:::.:.:....:....:.......�. ....:....:.:. .......... ........... . „ t► x.,�raina �,utili. .ease�n�nt3,,,vV�tl�dtis,.e�osibn=;txtntral;?im�roy�rri�n'ts::ln:'tl�'.�'"RI ht�r:lNa ..+�tc::':�":":��:=.' .�..... ... ...................... . .. .......Z3..... .,.... 9. „ Y,..., ....,..:..:.,....., _ ,,,:.,: .. Approved/Denied Date: Staff: Notes: pr0�6 meS by can�r�actn�lowner. Revised Plans Approved: Yea/No DaEe: StafF: .......... .. . ..:........ ,::�...,�.. __� ,..... ,,,, , .. . ... ,.. , ..... _.... ,.,.. ,: _ .. .,..... _ _ - .... ....:.... ::: .._.. ....�.... .::... . , . .......... . ..;. .... . . _. ....... ,... ......... .. ,.� , ......,..;....;:.....-:;. _.., .....,_........:. .-....,.... ... ...................:.......:. ...:.:.-,.:::::.::..:..:.:::,::...::. .. ::..:�:. .: .G�MMENTS:. . . �: _ .. . , . . . . ,... .. .:;: .......... ..._. .. ..... ... . . .... .......... _ ... .. , . . ..., ,.. - . CALL BEFORE YOU DIG. Call Gopher State One Cau at(651)a54-o002 for protection against underc�round utility damage. Call 48 hours before you Intend to dig to receive�ocates of underground utilities, www.aonherstateonecall.orn G:18uilqing Inspections\PERMITAPPLICATIONS12011\2011 PermitApplications ca ���� A.�.T.- ASPM�►LT SP�CIALTIES CQIVfPANY WOkK5MEEf N� TE5 � * � C9 f O 'y-�b� �j�lU�-�� —�LJ TREE STUrpS D �DDaESs TREE ROOTS ❑ I�O 14�S A 1M � (` s�ra�ur�c srsr� a HOU S E � � z�P PNOMEWRiES O (aCr��ll�./ ��J Z.� ElECTRIC WIRES CI MOME PHONE WORK PHONE ene�.E o ��'��� �� wntd�sriur o� ❑ � ��„�,,�,� LEAD SOUR� OATE SOLD ow��r+c�a�c�.�cs ❑ c�oE cwu� o �vin�c a � r�� dNERHEAD UNES ❑ LEADa TREE UMBS Q O * qppp py�}yWp p 4 �_1 APPOIM'�+ENT ESl'uNTOR C�$qW p PROPERTY�IN�OIS7ANCE pRGLE ��`'�� WMP CO-OD ����R d CROSS STREET r� CALL GppNER � EXCAVATE , , , , , , . , . & NO � BASE . . . . . . . . . . . . . . . • REPLACEA5IS CJ �-.L� �ra . . . . . . . . . . . . . . . . FIARES d O � F REMpVAL JACK • . . . . . FVIMMERC► . . / . . . . . . . . . . , AC GRASS GRAVEI Exr� r rRUC�s our • • • • � • • � � • � • . • CONCRE?E O7HER sAw Cur � � � � � � � � � � � � � � SCHEDULER: PG S/P ❑ EXiRA TRK • . . . . . . . . . . � . . LQAOS IN : . . ! : . . . . ��Y1 . . . . . . �� . . . . . . . . . . _ . �-�( REPts►cE . . . . . . . . . . . . . � o acrousEeoecar �� WITH ORTRUCKINYAHp • • - . . . . . . ; . . . . . . FpR��DD�p � . . . . . . . . R�SfORA7)ON SIDEWA�K ' ' ' ' ' ' � • • • - . . . . . CUST SIG - � � • � • . . . . . . . . . . REGAROINGTHIS INSTAI..I.ATION, ExP OR TERMS OF THIS PROPOSAL, ac , . . Pr����O;ngc ts�b�v�rifistl ' ' IS EVERYTHING YOU WANTED ����,�gr�ctcsrP�ner. . . . IN WRITING? IF NOT,PLEASE PUT IN WRITINGAND ATTACH SEAlCOAT • • • • � • • • • • � • • • ' ' CUSTOMERTOPAYANY �N • • REQUIREDPERMITFEES S�A�S . . . . . . . . . . . . . • • • • • � . . , . . . . . . . 250ApDITIONAL FOR MAJOR BI.00K REPAIR � U COMMITfEOTO EXCE�LENCE CUST SIG eioa PG 2 OF 2