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4184 Topaz Dr - Zoning Permit & Plans 09/26/2014 23:07 N0. 142 #001 � �orOfflccUse-------rr� , ��c��vE,� ; . 735� � Czty of�a�aIl SEP 1 y , i Permlt#: i 3630 Pilot Knob Road �� ;� � � I Date Received: � Eagan MN 55122 �,�_�.-------------.� Phone:(661)B75-6885 Fax,(651)675-5694 Email: plannina��c{t�ofeaqan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. ,..........._...� - � ----_......_ ,: � ,. � , " Site Address: ;p�epert�r::±:;;:: __ �. __.. _. ..., Infiormat9on;;: ' �CGI. � . �'�-( � (,� Owner Name: ' . Name:.....� '\�C_�1�°�,.`.l�',.�w�� I:.�ILi�� `l�. � Phone: �� , "�' 'C��'G . .�` �' � � r / � j^5 ' ' � 3 �,,, Address; �'(�) r�'4 �� --�r`�J�- �.�� Ciry/State2ip: 1\�C vl�c-�[�'� ��'� �� Co tact ' -_ — . �..�. � 7 ,� �.,/ � Applicant Signature: -• �w^ . Date:,�'y�� 6 v�� ` Emailaddress: ��,�,.� c.�} ��c.� �I��L�„' ��cLR`�,��-�i'�F(�.�:�`�� c�:v' . �� - �-� :.,: - ;::;' ❑Retaining Wail<4 feat �,�:priveway ❑Other: ` -: O Patio ❑Sport Court � ,Typ� f Wo�'k : ❑Sidewalk O Fence .' .. .:..... ..: ...:..:. ,,.. .:....:...-., ,...... ...:..:.::.:. ..:.,.::. Desrriptipn�f work: I .�.._. .� ..,..... r....-- .. —� . ':Pla ning .' . 5etbacks;hard surtaoe.:Coverege,sharsland zoning bluff zonelsetb�Gks +�tc.' "" ... . ,:.: .... ...r:.�-:�.+ � '. ::. A pro�edl nied Date: s 2�'Z�'j� Staff: �� ...� Notes: 4�� s Q reS¢.c.�.a.�( . � / ` Revisec�Plans ' Approved: Yes/No Date: Staf� M--�- . �' -�-�., .. =Engin�cing G�adu�g,�fi�inage ulillty easeF►�enf�.aivetlands erasiatt c�o�frol,imptas�iemonts In th��ght-of-Way,etc. , .. . .. . :.. . .... . ApprOded/Renled ^^�� Date: � Staff: _ _ Notes: Revised Plans ~��. ".Y.w, .M+� k Approved: Yes/No Date: Staff: ._ w 4 ...� ., . . . . ;. . ,. .. ; ":�'i0Iy1��'tll°J11 '�. : . . ... . ,.. . ; ;... .. . . . ....'.•: a . � .. .. ; . ..., ...:.. . ...,�.. ........ ........... ......_...._.._.._._,.... � CALL BEFORE YOU DIG. Call Gopher State One Call et(651)454-0002 for protection againSt Undergr0und utility damage. CallW d8 nrn,rs before you Intend to dig to receive locates oF unde�ground utilities, wWW9.o,g,herstateoneca0l.or� G:IBullding Insper,tionalPERMiT APPLICATIONSl201112011 Permil Applicatinns 09/26/2014 23:07 N0. 142 #002 —' 1l1�' IW111 VIII�J ��1�GI V/ V��v��c — � � . • • s E�. TIMA►TEB : �� # QS' � �1� � � � � a"13�� Y �_ � — ,��.i �� ,� ., Date: / —�C/' '., . . — I �� s u ��;i��' -- ;M1�`��: ;� :,:..;:,, � lP ��0 ,:;:;.::�:;; Name:�!��% C c �t �� . �I i �� 7��P�� . = B�s� Address: g 0 �;;;;; .- City: �� ✓'/�� Zip:55 r � a P � v�' � Y��Y - �. .... � CI Phone ,. �— No Yes ,/ No Yes U Phone (��-�� -- Replace as is 0 � Water shut off � U O Flares � 0 New Cover l� � Stumps/Roots ❑ � Drainage Problem C� ❑ O� �P rmit Yes l�lc� O pesign on separate copy t7Y Remove Asphalt(Extra charge ifi over 4") p Sprinkler heads? O Remove Concrete(Extra charge if over 4T) O Apron removal 1 car ^ 2 car_ _ 3 car U Cap Blocks_,_(�oes not include foundation work) / „��Ly� L � C1 Rgmo�e Gravel, Dirt or Sod � I�—y�Base,after compaction ❑ Your existing base and ou�s . �Re�qrade for proper drainage � l� � �_�Hot Mix Asphalt compacted to.._�. _ GI Addition to drive_„ f�� .�� O Concrete,see concrete form , � � r� � s4 Y rvximate S uare feet , S _ � �,�� 'APP q � .��,(, �' � Yr, Warranty �tir�c �t� �- �Y�Yc Asphalt Protection Plan(see details on back) Options: (Not included unless checked and initialed) ❑ Fabric Installation SF_. $ 1� O Permaloc LF�,l� $ �S Y�7 -�f�� /�'� �[C� Customer Initial . � �� . , �� Estimated Cost: �, :�l G� f � � v �// Down , - �,r,_r/ Balance . �� S X � � .� 9_2�=�-�J Customer Approval Date �� . I have read and agree with the terms and cor�dilions on the reverse side. C- � SIGN AND RETURN WHRE COPY Property Line? C:I Compd . � lJ Subpd _ .. 7745 2nd Avenue S�Richfield, MN 55423�Ph:612-866-8836• Fax:612-866-8078•www.richfieldblacktop.com Licensed • Bonded • Insured .