821 Cornwallis Ct - Zoning Permits & Plans 09/05/2014 20:28 N0. 101 #001
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Cit of Ea a� ; Permi[#:��`��� ;
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3830 Pllot Knob Road � �
Eagan MN 66122 L oale Recelved___W_�^T__ �
Phone:(851)675�56$5
Fax:(661)67b-6694
Emall:planningCc�citvofeac�an_com
ZQNING PERMIT �iPP ICATIQN
p Please identify improvements on a scaled site pian dr wing that shows lot lines, structures
and existing conditions.
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Owner Name: �U y I. 'L. 1 o i����� .
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❑Retaining Wall<A faet �riveway p Other:
::. ` C]Patio ❑Sport Court �
.,�;Type of,W�rk:: p Sidewalk �Fence �
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Description of work•
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Plannirtg SetbaGtcs;��hard surf�oe oaverage, ��arelar�d��oning,bluff c�n'elsethadcs;etc.
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Approved enied pate: � Staff; .._ _
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�.'Revised Plans . .� µyv��~y�.�y
Approved: Yes/No Date: Staff:
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Englneering �rading,drainage;uFillty��sei�aenfs,.�nretlands erOsio��a trc�l,improYements in the�Ftight-of�Way`etc.
Approved! Denied oate: sta�: !
Notes:
Revlsed Plans y ���+•J.�N.«.�•.M I 11Y,�
Approved: Yes I No Date: 5taff: .,,., „ , , �
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CALL BEFORE YOU DIG. Call Gopher State One Calf at(651)454-0002 f r protection against underground utility damage.�Call
48 hours before you intend to dic�bo receivA locates of unden,�round utilities. www r onecall.or
G:�BUllding Inspe tlonslPERMITAPPLICATIONS12o11�2011 PermltAppllcatlons
09/05/2014 20:29 N0. 101 #002
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ESTIMATE 8,,: .��r � # ��l �� � - `�1�� � 1..�-��s°
Date: �`' — �� I ❑ ` ' '
Name: ��.i � /�'lC �� � P 0 �'':� ���ii; �
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Address;���„�. �L� �''�,9� �l..t� E 1 -- �°" �B�o
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City: �C.?c�4',� �,�I Zip:55 �3, P CI _
�I Phane _
O Phone 1���� I t� � '— -SId� l � No � Yes No Yes
Replace a is O � Watershut off �^ ❑
u Flares 0 9Y New Cover �. ❑
Stumps/Ro ts �j/ O Drainage Problem I� O
O Permit Yes !� ❑ Desig on separate copy
�emove Asphalt(Exira chzrge if over 4") p S rinkl r heads?
❑ Remove Concrete(Extra charge i f over 4") P � �}
V A p r o n r e m o v a l 1 c a r 2 c a r 3 c a r � �'��"�.�r�c���y
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�Cap Blocks�€� (Does not mclude foundation work} � �� '�°��°: �� �
O Re�no�e Gravel,Dirt or Sod
Ilr�Base, aRer compacfion �
LI Your existing base and ours a
�e rade for proper drainage � � a
�L � Hot Mix Asphalt compacted to ��
A dition to 'v ��
❑ d dn e .
O Cor�crete,see concrete form �L.C1
flYApproximate Square feet `l a �-. � '/
S� I��N
CD�,�Yr.INarranty � ����'"�
�' .S Yr.Asphalt Protection Plan{see details on back) �
Options: (Not included unless checked and initialed} /„�
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Q Fabric lnstallation SF �$
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Customer Initial �,�;Fj /l��'
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Estimated Cos� � �
Down c°�'K'.�vr��.E,l� � � � i
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Balance
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I have read and agree with the terms an conditions on the reverse slde.
SIGN AND RETURN WHITE COPY . Property L neT
� LI Compd ❑ Subpd
7745 2nd Avenue S•Richfield, MN 55423•Ph:612-866-8836�Fax: 612-866-8078�www.richfieldblacktop.com
Licensed • Bonded • Insured �i