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4674 Penkwe Way - Zoning Permits & Plans 67/23/2015 00: 12 N0.466 #001 ----------------� � ForOffieOUss � Citof Ea a� �� �� .,:._��� ; Pd,,,,,«: � ����� ; Y � u_ , � �._�� ��...�s.. 3830 Pllo!Knob Road � � Eagan MN 55122 ���' � � ��3� I Date Received: � Phon4:/f.Fi11 f.Tt►.6BA5 �- �-----�._�_�_------' Fax:(651)675�69a Emall:plannins��cltvofeastan.com ZONING PERMIT APPLICATION e.�---- _�_..a�e.. : ..a_ _ .. .....,1...1 ..:a.. ..1.... .Jr....rt.,.. �h.�+ehn..re InM linne efrn�fnro� Ur�vaav �uvn���y uTij+ivv�7i'c��.a vi.s. o..c.�v..v��., r...... .........�y .�........ _.. ........--•--•----�-- and exiating conditions. ................................................... ..........:.... .,....,,. . :.,.:. , ;�:::.......... :.:�.�::-? , .... :;��:::,� �-����-� .,�::.:::.............:::.......:��'`s:ii::.:,��, ...,.,': , •. � . � Site Address: � � ....... ... _.� ' ;.::;;::::;;Prcrpelt�';;?;:;:::,::. ........ �'`J��,-. l�.�� ;slnt'o.rma#Ian`'"!'� .. , "�.,��--'� �.. ...... :..: ......:....... � ..;,. .:.:.� .. .. .... ..::.::::..� .,, ..:, .,.... � Owner Name: � _ � ::;�::: l,� ( '' ., �r�/ '`�r�'i�' �•..�� .,,..., „ ,,,.:::.:,, _ Name: � �� l Phone: �J I� �j1r�•' �� y .. ....:.....::.....:..:...:........... .:.... °� C.� �. .....a L. �1 , . . ..,. _ , ._.. , ,,,�.,���,:,,,,. �.�' ... .................,,.,, �:.�.:.:.:,1.,��..: l d ` t � � . : C' ° 1� �� � j C �, ,,.,.,.;,.,•;,;.,:,,., ;..,.r:�::::��.�:;•,,:�,.;,.:.::..::...... � , 61 �� ;�:;:,::::•:::;:..�::::.::.:::.:::::..:�:sr�.;;:�,,:c,:: Addra�s: . �...J CitN/State2ip: 1`t C. � �J .� I;+ ;�?.G�I•1�Ct:...., ;'�� „__�,.. ..��:.. ,,., `"��y�� -.�.�• —.�.... n�ro•�r-'"" J ""' � �— ��� � .... •. � ..,,;'�„�. ., � ,.N�u..uin..�y w..i�"". --•-• . . .... ;n:ii(i:..:n.�•.::.•e.J..:�,,..,.;,,,;,`.., � ry , i ..... � v �� . ..............................................:ii��� n ... 1 �; . v ...,.. ...�..,....:��.::•..:.•..:�............. �� � /r �1r JJJ y�� /' C.n.��l erlrl�vee• ' 1/'.1��1!r.t� ��r'.�n�� �1/'� f'3�t.'����J 1`-'r��i�4�' r•' "-'1 — �.. �� .............:....:.......:•.:•.:::r.: � 'r.:,•,r'6.•�.:..;�,:v.:•,,,.,::::::n::..;.,,.�.1:"f1..,..... � . ;,:�:i, 0 Retaining Wail<4 feet � riveway ❑Other. .,:,;:;;;f;;�;;:i,::,i!:;i:;:;�ir;;;,;;;;,;,;;c.i:i� ❑ Patio ❑5po�tCouR . �:�'t:::�:•:;:•::.:.:.::....:....;..;.:,.,;,,,..,;.,::.;: . ,:, •�:��'ype.of;� . �i',,;::,:, ❑ Sidewalk ❑Fence � , .....,, . . :...:,�..........:.. :;�;::::.,�;;.:: ,�.. . :'. 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MIYW1 . . . . ......,.��..�.. .. ........�........,..�... .......i.............�....: . .. ... . ........ . ..... ......�..�:L•Y.^:!::..i:::.. .. ....... ..i�. ....... .�...�.��.�.r. . ..�i.������i�:..�� i. .. �. • ......�..:....... '':.::.:'.::.t.:..:... .•.:.................. . . . MId1Y4elV���� CALL BEFORE YOU DlG. Cail(3opher State One Call at(651)454-0002 For protection egainst underground utility damage. Call 48 hours before you intsnd to dig to reoeive locates of underground utilities. www.nopherstateonecall.om GlBuilding Inspecdqns\PERMIT APPLICATIONS�201112011 Permit Appii�aiions 07/23/2015 00: 12 N0.466 #002 J����� � - The Twin Gities Paver of Cho�ice - - �: , � , ; e EsT�MATE BY: � # - � - � �, s 1 s ��� _ _ -4 � Date: "' I u ►i�' � '`�� Name: �0 Cf� 1 hl Gt �! P D �:i' �;� � � �� L u 'i��� � Address: � � �t� � 'iN ��8,� B O ' ,;;�, . � Ciry: �� Zip:55�� P U ❑ Phone � �L `�-� �Q / ,M... U Phone � � �,�7 � (�,�� Na Yes No Yes -� / Replace as is L7 � Water shut off ❑ � Flares O QY' New Covor O . . 'Stumps/Roots O 'lU/ Drainage Problem � L� ��' mit es ' ❑ Design on separate copy � ' �emove Asphalt(Extra charge if over 4") � ❑ Sprinkier heads? l.l Remove Concrete(Extra charge if over 4") C:1 Apron removal 1 car 2 car 3 car �ap Blocks (Does not include foundation work) i'l RPmrn�a f;raval nirt nr Sod ' ' �]-��yBase,after compactlon �� �j • ❑ Your existing base and ours � �--- �j ••��—�-'--'�� IGYRegrade for proper drainage � � . '� 7f� t�-�H�t Mix Asphalt compacted to / l . r„ � ' - �.1 Addition to drive ' l7 Concrete,'see concrete form � A� � ' �Approximate Square fee . .... � . ' Y]�.,�Yr,Warranty �� .,,, r . �`�Yr.Asphalt Protection Plan (see detalls on back) � Options:(Not included unle5s checked and initialed) 3 ��� �, � U Fabric Installation SF $ �j" ����8 _ . ._ �t . � cf n -�- . 2 ,� � ��� u rermaioc �r � ���....,.f�,� � ��� ��-� , — Customer Initial_,.,, r r �� �� CL,��`�C , ,. y.7 �`� �� 'r . Estimated Cost: " � Down __ �� � �`v� . c� '� ' .� � � Balance -� �, ., X 1 `..� c..�, .�r.��' 7�r� . Customer Approval Oate � ,�. ,� I have road and agree�with the terms and conditions on the reverse side. ��. ' • SIGN AND RETURN WH�7e coPY �.� Properry Line? � �� � � O Compd D Subpd 7745 2nd Avenue S•Richfield,MN�5423•Ph:612-866-8836•Fax:612-866-8078•www.richfieldblacktop.com � � � Licensed � Bonded • Insured � -