1847 Covington Lane - Chicken Permit A' i
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� For Office Use �
�U� Ol L���ll � Pertnit#: /��(��l.� � I
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3830 P�ot Knob Road I �
Eagan MN 55122 I Fee:S5Q•00 (coilected by City Clerk) I
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Phone:(657)675-50Q0 � 3 � �� �
i Date Received: �
L------------ ----�
CHICKEN PERMIT APPLICATION
p'``Please identify coop and run information on a scaled site pian drawing that shows lot lines,
structures and existing conditions.
SItE AddfP.SS` Site Address � `
for chickens: ��'�
'°� �
Wame: ����:� ! �a� Phone: �p��-'6�:�
APpti�ant APplicant _ r - ;
Signatur�: , : �=t � Date:
Email
address: n� �
Owner Name: ��
Address: +���U 1� -, City/State2ip: — � Y 1r V
Propelty alld Property Owner Sic�nature ry
��r (if differerrt than applicant}: Date: �
tnformation I
The above referenced property's Homeowners'Association r�es,if any,do not prohibit the keeping of chick�� __ ',
on the property:(please initial) ',
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Yes No Not Applicable -� (l�[> TTp►'V'LCDw��"S `�`,��a�tc''�� �
Number of chickens: � "
/ /
Dimension of chicken coop. � x;
Dimensions of chicken run_ ^-'S�`x j i
Description of exterior , ,
COOp/RU�i materials for the coop and run: ( � ;� ll'
Informa#ian - {_
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Will a fence be added in addition to the coo rid run? Yes No �
Description of fence,induding �� <` � ��
location,size and materials: /
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Page 1 of 2
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I hereby acknowledge that this infarmation 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.
4 �
x ��� �-.�.�,_�'�. 1 ' _��.gl`� � X � � �� �� �� I
ApplcanY Printed Name �^Applica Signature
Planning
prov_. � /Denied Review Date: �` `� ! S Staff: � c,'-���''' l " ��c-.
Notes: /�
��`� ,�S _ �A v�5,�t2 c'�$�d�'�o u�'lc� Cc��7�i ✓1 �t���-� ,X,,c�CJ�c.`-�1(�l'�
Nei,v ,QUC�UVi ��i-Q-Q .�("'`' C.��ti1.� `'"/ "�''R��A �,
Revised Plans
Approved: Yes/ o Review Date: S Staff:
Animal Controt
Approved/Denied Inspection Date: �" Staff:
Notes:
i o� i�s h`� ��1�n v t�-� `s�E' M�e,,(�
_��7 Rw,�rx h �;w„�-s
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
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,. Site Plan
�-----------���--------� Chicken Permit A plication
� �� �°�:` ` � . �-� � P
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° �-��--�--�- , _ --- � � ° Matt and Stephanie Peick
! �E�., �° � �
; �-�-�� �� ; (651) 688-7051
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i ��'a � � � � '� 1847 Covington Lane,
� ' �� Eagan MN, 55122
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� Shed �
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Lot 14, Block 1,
; ' �`t1fP` Sx� �, Park Ridge 2nd Addition
� � Dakota County, MN
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31 i i
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10'
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30.0
Curb
- - — Center Line, Covington Lane -
" •' ' ' City of Eagan
Cash Receipt
Receipt Date 3/3/2015
Receipt Number 204044
STEPHANIE PEICK
2744
0401.4116 50.00
CHICKEN PERMIT APPLICATION
Total Receipt Amount 50.00
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