3160 Jurdy Ct N - Chicken Permit ' ------------------,
� For Office Use I
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��6� ��iJ���� j Permit#: ���� I
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3830 Pilot Knob Road I �
Eagan MN 55122 I Fee: 50.00 (collected by City Clerk) �
Phone:(651)675-5000 � I
� Date Received: 1� � j
---------- -- ---�
CHICKEN PERMIT APPLICATION
p Please identify coop and run information on a scaled site,plan drawing that shows lot lines,
structures and existing conditions.
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��,�������,��� Site Address - � �
for chickens: .� � �� � U i��l ���` �� �� ��.>� Cl i'1 � �''l� � �.�,� � � �
Name: � Y`C i'V1 GL`� � <,1 a-- C_U 4�� . Phone: �tJ J� �'-� 1 J�17�c7
� � Applicant �
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�:' Si nature: Date:
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Email � (� i
address: ���.:) �., �t:�:i . � � '�� c� i�c�.i I . C,C; �'ti'►
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�`� � � ```� Owner Name: � ��� n'1 Gl S � `�J F� �'C��r''�
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Address: �_���OU Ji1 ���t �� �,� City/State/Zip: �t�E �{u�� ��r1.� ������
��������� Property Owner Signature /� / /� /
dW��� (if different than applicant): Date: /(J ��(.� � U/�
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' The above referenced property's Homeowners'Association rules,if any,do not prohibit the keeping of chickens
' on the property:(please initial)
�. Yes No Not Applicable �
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�� �� � Number of chickens:
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�;� � ��`���� � Dimension of chicken coop: �/
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'' ��� ' Dimensions of chicken run: �� X � s , /�
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\ � � ��, Description of exterior .�-y,,����� ju����, � s� . 11
` � materials for the coop and run: �'G'I �5 �CP 1�
CtloplRun: �
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� � � � ����` \ . Will a fence be added in addition to the coop and run? Yes � No
,���������'�
�����'�� �� �� Descri tion of fence includin i � �j'
�����`����� ' ` location,size and materials: 9 � �� C �� ��C'� �� �� � !'� ���C�� " ����
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Page 1 of 2
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I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the
ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. I
acknowledge that structures will be constructed in accordance with the approved plans.
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Applicant's Printed Name Applicant's Signature �
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l�t�nriing �
pp�oved enied Review Date: u� 1 ��`� Staff:
No es: �11Q P�}[j S�-i h� S�C(� �(1-C�S`.�tit,f S�v� �2yL/S'rS °r Si-ff.
�QPI��h v�oold � 2,na� .
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Revised Plans
Approved: Yes/No Review Dats:
ACiIl11��CQIitCCt� : ;
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Approved/Denied Inspection Date: Staff:
Notes:
After a permit application is approved and the chicken coop and run are constructed, an Animal Control Officer will inspect
the space for compliance. Once the structures are approved, your chicken permit may be granted.
Page 2 of 2
G:\Planning\CH ICKENS
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Disclaimer:Map and parcef dara are belleved to be accurate, but accuracy is not guaranfeed. This is not a Map Scale
legal document and shou/d not be substituted for a titfe search,appraisal, survey, or for zoning veriFcation. 1 inch = 31 feet
Dakota County assumes no/egal responsibility for the information contained in this data.
6/13/2014
i
` City of Eagan
Cash Receipt
Receipt Date 10/28/2014
Receipt Number 201345
THOMAS JACOBS
0401.4116 50.00
THOMAS JACOBS
Total Receipt Amount 50.00
145316 16:12:04