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971 Kettle Creek Rd - Zoning Permits & Plans 04/01/2015 17:4? N0.320 #001 � For O�ce U9e � City of����� ; Permit# /����CJ� � I I 3830 Pilok Knob Road � � I Eagan MN 55122 L oate Received__ i --------� I � Phone: (651)675-5685 ! Fax:(651)675.5684 I Email:olanninq[r�citvofeaqan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows (ot lines,structures and existing conditions. , . . . ..__.... , � .... .:..:: ...... . . .. ' �� �� , site Address: . PropeKy:..::�:`:` _. ....- --..... . ' /� �j� � Inforniatlo�n� ;' � � �l� (JL. `� �J�--�'�,� ' Owner Name_ i _` -� � .....�.,. . �c;:a'.`r�..,. � r.G ���� �) F �l �- �:�', �.��.��:��:� ��� :.J �_ Name: � � �, C.� Phone: �� <' � J�'' \ J� � �:. :":�::�;':�:.�':� . :.....��....:...,.�,::.�:: :�...,.�... ` ddress. � �Y �t p • � -- • .. , . :.;: _...__... . .. .�... ... .. ,: A - � .. �ti C.: ,.�o�ntact .....�....__.... ����� .. :^� . ._ C� �� << > � �., � � , `��'� �i - � - ;�� Ci /S e2i : \ ........................ . � � ,. .- . . _. _ . •-.•.. '� Applicant Signature: ���'�c:�"<y Date:�- ��`� �" _.._.:::- :-_._:..:::.: Email address: � �; ,�,^� GG� ����G ���Cl�: �����.��1�,���r<,�%��'� . ._ ...._., ,., , .:.,,.... . . ❑ Retaining Wall<a fieet r�(priveway ❑Other, ` ❑Pat�o ❑Spon Court -..;. ... ';;:Type,_of Work: p Sidewelk ❑Fence ` ....::::::.:..:.:,,.:,...,.... ` ' ' - Description of work; ; .,;, ............. .... . _ . . ... , ,; , : Planning Setbeoks;.berd aurteoe caverege,sho�,�lacr��ornn • bluff zors�'a�tb�o eta .: _» , ,,. ... , . 9� rove Denied Dete: � � �, Scaff: � Notes: PropartY Iines to be verifl� -- . � b�r aonuactodowwc�er. � Revised Plans ~ �~��� i Approved: Yes 1 No Date: Staff: ., ,.,_..._._.......... _._...._............... - - ............... ;......:.::::;;::;::,,;:.::,:::,:..:.::::::..,. . ......:_:.: . _...._......_..... ::,•-:::. EnginE�er�n� Gradu�y dcamage udl�ty eas�n�iant�;wafla�ds;arvsro�coMrol imprt�vs�ien�s In the Right-of Way,etc, �.. . . � �.._ ,�.....,.,....,....,. .........:.y.r�.�_,,.;.,., . . Approved/Denied Date: Staff �� F Notes: —.. ..-- � Revlsed Plans �� ���� Approved: Yes/No Date: StafF. , -�-w. _ , �.. .. , .. . :....: � Com�nent� , .. ... � .... ...,, :: . � .........:.. . .. :- ::.....:......_._,.._. .... I � .. ... . ... ..: __....._.._._�..,.�...,....,,,.,,,.�.,w_. . ; CALL BEFORE YOU DIG. Call Gopher Stats One Cafl at(651�454-0002 fnr�roter,tion against underc�r�und utility damage. Call � 48 hours before you Intend to dig tp receive loCates of unde�yround utilities, www.qophe►stateonecall.orn G:1Buildinc�Inspectlons\PERMITAPPLICATIONS\2011�2011 PermitApplicalio�s 04/01/2015 17:47 N0.320 #002 /����� - The Twin Cities Paver of Chorce - - r � � , • � ESTIMATE �Y: . r � I- �l`/- `-.o • , � � �ry �... � -�� „ J ' III������!;l Date: � " �� Name: Cl C� �" �' � p � �� �' � ;�� �..; L O �' " Atldress: �r�' �� �B� l f� � ��I ;.,;, B ❑ ;' ''' Ci �Z � Zip:55�3 i' : � .� . ty= �� P ❑ ❑ Phone t�'�,,�1 �% �c���- (.;? ��?-G'' _„ _... ..._ 1 / �// r No Yes No Yes ❑ Phone�'�r �U�/ - 4� �/L� " ���.,7 Replace as is O [�Y Water shut off �' Cl � Flares O 11Y New Cover L� O Sturnps/Roofs � Ca Drainage Problem C� O � �� rmit Yes / No � U Design on separate copy move Asphalt(Extra charge if over 4") 0 Sprinkler heads? ❑ Remove Concrete(Extra charge if over 4") � O Apron removal 1 car 2 car 3 car "• �r/�`C,� �ap Blocks�(Does not include foundation wo�k) ��� ,� Ll R�mo�e Gravel, Dirt or Sod �'�Base, after compaction ❑ Your existing base and ours � �(� UYRegrade for proper drainage s QYY�Hot Mix Asphalt compacted to�_ O Addition to drive ,,, �� l7 Concrete,see concrete foRn �� � 7� Y� � � l�t''Approximate Square feet _� _ ,Q �n/1(�� . Q.�Yr, Warranty V�•��� IU-�_.Yr.Asphalt Protectivn Plan (see details on back) Options:(Not InCluded unless checked and initialed) � � C (] Fabrlc Installation SF $ , __ - __ _ _ -_ __ _ __ . _ , � ��Permaloc LF.,.�.�� $ _� �a l7c�i� l�1 �'�� . Customer Initial � �� ��s �1 fi Estimated Cost: � �`ti� �`z�� . '� �jy1 �,��,.-.�.., ••::.,...�. Down _, � � �" �1_.c�� c� � � � . . .� Balance , , �G G�� --- X 1'�_�.�N1c.�� :sz-- -����^ � . � .�G I Custamer Ayprovd�. �ate �„ �l_� I have read and agree with tl�e terms and Conditions on the reverse slde. 91GN AND RETURN WHITE COPY Property Line? , O Compd .,..T ❑ Subpd �.,. 7745 2nd Avenue S� Richfield, MN 55423�Ph:612-866-8836• Fax:612-866-8078�www.richfieldblacktop,com Llcensed • Bonded • Insured �