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821 Cornwallis Ct - Zoning Permits & Plans 09/05/2014 20:28 N0. 101 #001 � For O�ca usa � ^�---� Cit of Ea a� ; Permi[#:��`��� ; Y � � � 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. ,. .. ,..::> ....._..r. ........._ :,.. ,. . ,. .; ;,,,; -� ` ��'I'� Cti.�� r� C_� Ptdpel'ty':::::.,. Site Address; �`:::;#n�t�rmatio`n';:�'; _ .._ ._. ._ ::: . ..... I /� � . Owner Name: �U y I. 'L. 1 o i����� . M�� - � j � . f �~.1�� ~C'°f,.,'�.._.. . ;. . � .. --C Phone �;;1'��-� �L�'� � _ Name� �C., t L, � �. ( '� �� � �� � r C.4 ���a..��,� _ .. --- .........:.. : .. - ;,;- . ' � ,:<: i ,. : .:....:: _ C ,_...:..,.,.,:,, dd ss • �y tatel P _ � , ,a re : �'j � is �`~ r�� C�� ,� � c �� :��, . . �� ���� � - : /`'�/ c..L r.� ,,, ZI 1�` ,.. , r..._........ .....-- Contact::;:-., . � .� f �.C. r ;' , , .. ... �<. _.,,. � - � ` Applicant Signature: � ��� �°- Fti c� ..... qate: • � ,. , _.. _ _ ' ` �-_•-,, ` � f ; . ,..:.. Emailaddress: ��'1��a �Ji�-{'ti t��i �[L���,f�:1 C��l'� �� r ❑Retaining Wall<A faet �riveway p Other: ::. ` C]Patio ❑Sport Court � .,�;Type of,W�rk:: p Sidewalk �Fence � ,. ,>...:...:': :;: , . --. _. __..... ........._._ _.. .� Description of work• ,.-_:�::..... ,:.... . ._...,..............., ._....._ ............, �.... ............... Plannirtg SetbaGtcs;��hard surf�oe oaverage, ��arelar�d��oning,bluff c�n'elsethadcs;etc. ., Approved enied pate: � Staff; .._ _ � �.'Revised Plans . .� µyv��~y�.�y Approved: Yes/No Date: Staff: : .. .. 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: .,,., „ , , � �,.,��� C�mmeMs .:: . , ,., . 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 1 1!Si R�AACAIA . .. � . .. ... �- - -- - � - -- --- - -- _ _ _ _ yrww��i�. � � . • ESTIMATE 8,,: .��r � # ��l �� � - `�1�� � 1..�-��s° Date: �`' — �� I ❑ ` ' ' Name: ��.i � /�'lC �� � P 0 �'':� ���ii; � '� L U ��I! �' Address;���„�. �L� �''�,9� �l..t� E 1 -- �°" �B�o . B ❑ I',, 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 . ... .... .:. .. .. �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} /„� ' tV Q Fabric lnstallation SF �$ O Pe.rmalec-•Lf—��"'$';,"�T'r����. .�- , �-t '`'� . � J Customer Initial �,�;Fj /l��' � __�...... . .�,;. ' L � � „� U�� Estimated Cos� � � Down c°�'K'.�vr��.E,l� � � � i , a � a � :�� ���� Balance ti x f�,.... � :�, r ��,�:, 1'J�� "� � ,� CustomerApproval Dale �C�� ,�,,,i.� , . 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