1280 Carlson Lake Lane - Chicken Permits & Plans ' ------------------,
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� Pertnit#: � ' �
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3830 Pilot Knob Road I
Eagan MN 55122 i Fee: 50.00 (coliected by City Clerk) �
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� Phone:(651)675-5000 � I
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' � Date Received: � I
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CHICKEN PERMIT APPLIC►ATtON
p Please identify coop and run information on a scaled site plan i�rawing that shows lot lines,
structures and existing conditio�s.
Site Address Site Address f �//� / � �i
for chickens: 1 p� O V �(�S fj(/� �.G�l�'C. � . ��i( 4� �S�a�
Name:
t�b1�n�. ..� ` ��C'.�/'��� Phone: �S1 7�?�,�.�.2�'J
Applicant Applicant G�` � /�/� / Date: "( "' � "-'��
Signature: (,f y��.�
Email �Dk-c�n� �gs��" GhoZ� • CO
address:
owner Name: ��b�f'.,►'l`P ..L� , l�� P�G
Address: [ � �d �C�r'tSDn L�k� L./1. CitylState/Zip:�G� li� 1'�'1N S�s��-3
Property and property Owner Signature �
Owner (if difFerent than applicant): ��i/'�Q � � Date: ^
Info�rnation
The above referenced property's Homeowners'Association n.Ues,i�F any,do not prohibit the keeping of chickens
on the property:(please initial}
Yes No NotApplicable ��
Number of chickens: �
c:
Dimension of chicken coop: �.J 1� � G (,7.� � �($'
Dimensions of chicken run: �V f r1
Description of exterior
COOp/RUtI matenals for the coop and run: ��j �,U t f� �`n �� J'�O p
Information
Will a fence be added in addi6on to the coop and run? Yes No
Description of fence,including _t_,
location,size and materials: (iUr� 75 -�rnr Fc� (,�s 1 Tv� C{1c�i!� 1�n k- m o.
�y1 a�CP 0.htc�,rr :un iF n�Cr�SScr y i n fk�urP �r� C'htc ksrn wi r�e
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Page 1 of 2
G:�Planning\CH ICKENS
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I hereby acknowledge that this information is complete and accurate;that the worlc 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 approvedl plans.
, X ���tG v1�f' .� ' Y1 . IIC? x � `J ( Yr .c�r
Applicant's Printed Name Applicant's Signa�ture
Planning
Approve J Denied Review Date: Staff: �
b[d . �12.t� s-�. ta��
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Revised Plans
Approved: Yes/No Review Date: Staff:
Animal Control
Approved/Denied Inspection Date: �� [L Staff: _� • �
Notes:
After a permit application is approved and the chicken coop and run are constn.icted, an Animal Control Officer will inspect
the space for compliance. Once the structures are approved,your chicken permlit may be granted.
Page 2 of 2
G:1Planning\CHICKENS
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