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3615 Lakeview Tr - Zoning Permits & Plans 07/20/2015 18:08 N0.462 #001 ------�---------� � For OHlco Use � � I I ��� O� �1-��jryn � Perrnil#: � L II,LL � — � 3830 Pllot Knob Road � — I oate Received: Eagan MN 66122 �__�-------------� Phone:(651)675-5685 Fax:(659)675-b684 ' Emaii:plannina�citvofea�an.eom ZONING PERMIT APPLICATION p Please identify improuements o� a scaled site plan drawing that shows lot lines,structures and existing conditions. . i�;;i;;. ��^ r I � � � , �� � � �'!°�;`��` . Site Addreas: ...-�lS.'1 �. I— _��1,. , _._. ����;�Pra� rty� ��.,:� �-- :;. , . , .�":I�nfoirinatio;n,:�';� ............:....:..�:.:,:..,...,..;•,:,;: � . .•.::...::.::......................:�:,�;:�,,; pwner Name: C� � . :.•...:...�.,,�..., , r � 1.�t �;ii;:,,c;;;,;; ,.,�.". l ` � ( .r f �>�i•��/ Name: t�G4 (�.t � . Phone; (CI��� -�'�' �-av.�r'"a,. �,...:., .: . .: , . 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L J�� ❑ Stoop ❑Curb D Other _ �d.�n�����J� ■ Foopngs :O,�ther W!� �_ �mit(if needed) • '�j�5 , ' �+,,�,•�r� �,e1�ove Asph�ll(Extra charge if over 4") " �° 17�emove Concrete(E�tra charge if over 4") ' """"'"' " � ' � '� ❑ Remove Gravel, Dirt or Sod . ��.'.� ' . l � �ddition to driveway � �_ :;;��i� !�; � � � �� �asework as needed up to 4" �I:.:i!•' �egrade for proper drainage (� �•��,�� �� �� :. br3I8".Rebar 3'on center `� � ,�� ����. � 1�,.�,._Signature Concrete Mix �G�t�� ��a":�i ,��-� (;� �� �-�, � �4�I� � � � � Pi�� v �500 PSI `"'���.� L���'� 1�Micro Fi �� =r���r ' " 1�°'1 =j:�:;�.; ; �inish Bro mooth/ExposedlStamped ., „_ i i�;i �' , ;�,,� ❑ Color M. , ����� .�: � ' 1Z�-'�aw Cut!Hand Tool joints l�Ip Strip(8 feet or less) � '����.;:'.` !�3 ' �' ureAge~ntlSeal � �����' - �''����'�i �-6ackfill; 0 Own � ''�����'�I� +ii.:::,, i4:iiil!� � n a�/ �...� �j-�rass Re air meowner O�e����v� / �F�'`'` P �� � �,,Jl .�?:.1:.� :. �Id��YR Warran[y �S , '�"' �� � s�z,o , ;�'�� _ �� . ...__.. .. . � . . � ... . ......._ �stimated Cost: � . Deposit . � � d �Z� '� � • .. �.`� �Q `.. _. .� _ Balance , �,�`�� . X �'�-..��. .,�-�-�.�— ���S�2�a��r'+� � . . CusiomerApproval Date I have read and agree with the te�ms'and conditions on the reverse side propel'ty Line? SIGPI AND RETURN WHITE COPY - '" -..,,.... ❑ Compo l:l Subpd _.,,,� 7745 2nd Avenue S� Richfield,MM 55423•Ph: 612-866-6073 �Fax:612-866-8078•www richfieldconcrete,com � � �Licensed � Bonded • Insured �