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1013 Ticonderoga Tr - Zoning Permits & Plans r # � _____����__���___� � For Offlce Use � I City of �a�a� . ; Pe�,t#: 1��r� � ; 3830 Pilot Knob Road j � Eagan MN 55122 I Date Received: j Phone: (651)675-5685 �----------------� Fax:(657)675-5694 Email:pianninnCa�citvofeapan.com ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site pian drawing that shows lot lines, structures and existing conditions. Property Site Address: /D/�j T C O /V �(t a�'o A� '�"�/L r4 J L- Information ! ' Owner Name: �0�'L �- �N� p.l�K S D� < _ ._. ., w_..__ �. ..w..._ � _._ _. Name: �P1�'A't'�- � L�en�2�e7'� �vy h'�X _ , . Phone: �/�-78�— `�j� av/ 5'�- A�' S I� . �vew 8�t c�rr�s�, �»�v Address: � City/State/Zip: SJr/�� Contact Applicant Signature: ,�/W�- u Date: �j'f�71i,s Email address: �p� bu�k�,D�c��-- . eon�-----_. _-- --__ ---- .. __ .., . __ __ _, _ _ ❑ Retaining Wall<4 feet �,Driveway ❑pther. ❑ Patio 4.��-Gcu��t.�..,......._._,__.._.._, TYP�of Work '; ❑Sidewalk --'"'"`� ❑ Fence tt µµ -� , u.��._-�.,e�,.,_� Description of rk: �rn.p /Q E �uCW�1 � Q v-c.� �v�c DR x a� _ on,. _ b . __ .�.r �� _..� �--- _ ,;.,.� _ _ _ _ _. ._ .. . __..�_._�..:.-�:- _ Planning Setbacks,hard surface coverage,shareland z ing,bluff zone/setb ks,etc. I , .�n.a �...,.�.. ..�.,� ���..�.Mh��. .�..�.., .a. .._.,. ... ... _.�.._ , ,� __ _ __ Approve /Denied Date. � �� i S� taff. � R Notes: ? (��'j�„v � f 1_,� !�!"t��f� ��'�� � . �" l `'`` , � PropeRy lines to be verifi�►d :i�, C��;^d ����1� I ���� e"�G��'���;�,� r by contra�tadawner. _ _.. _ Revised Plans Approved: Yes/No Date: Staff: ,. . _.. _._ . Engineering Grading,drainage,utility easements,wetlands,erosion control,improvements in the Right-of-Way,eta Approved/Denied Date: Staff: Notes: __... �w,.. ..__....,, .W. v.... _. _._ . ,. .. ... . Revised Plans . _ Approved: Yes/No Date: Staff: __. . ..... . _ _ _ _._ _ _ Comments _ _ _. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq G:\Building Inspections\PERMIT APPLICATIONS � .� , ��� / .r �'/c3� . � � �� � � HAL ����� � �� CONCRETE BUY KNOX INC, Details Yes No /�,, ��,, Conta erson. Office Use � Cross Stre �=sa 4aJ �i�L � �`'itl���'i��S'�� Cable � Site Ad�dsryess Orai�age Probi. ❑�, �6'�,..� f �����/c_r•5N� ��� Electric Wires l�1❑ � ` j �, y Home�j one G��+/ �j Gas Line ❑� f ��-j/7/v , �,d[ � f T" ��c7'� Grade•Change ❑� Z�P�,,, WOrkPhone Heaving ❑� GR -�✓ ��� Date Sold Celi Phone Overhead Wires�� � _/��� ��� n�,��� � � Phone Wues �❑ `f" t�� •� Root overt,ang ❑� Lea # Lead Source Map Co-op Salesperson �1 ,r�l�i.s'� /� G� C�7�. saw cut at street�� PERMIT.- Y�N� GOPHER: N� Sprinkler Systerr�� Tree Limbs ❑�I ,��,,, ; �`,f. Date Applied: Approval:# Tree Roots ❑❑ Prop.Dist Tree Stumps Concrete-Sealers �� W AP GR SW SP PT BD WL FT P water Shut-ott �❑ �C: 3 1/ 2 f/2" 2" O/L Part►al BASE: 62 63 A/C seater Qsealer G EXCAVATE a � �J� . & � � � BASE .� . . . ����' ��� _ Scheduling Concems: ��q� EB ���� 4�� None as Listed . . . . . . . . . . . ,��. ..` . E � . i z �1�1dfi�5 � . . . . . �� ��i r . . . . . E . . . . . . . . . . j . . . . STEP � REMOVA . . . . . . . . . . � . �)�' . . EXTRA � . . . �I�. . . . . . . '�! . . . . TRUCKS � IN/OUT . . . . . . . . . . . . � . . • . � • SAW . . �f ��. , CUT ' ' ' ' • • . • . . OFF/CE Little8ob ��1�^� • • . . . . . . .� . . . . . C.:fr��'I�- 4L��c:./T� �' CLAY . . . . . . . . . - . � ^- �—r ' `,7� ��r77v 1��• BARRIER I � /�' � . . '�t . . , ,+ � Custom ' I� Work . . . . . . . A . . N�r.� L,t�/,�'��_/L ` �� : . . . . . :) ', :�� REPLACE � . . . . . . � . . . .i1�. �t . . . `�1�e� ��LtlC- li WITH . �K�"' . . . . . :T' . . . . . GJ�•,�- ��2„��� . . . . �.� �o. . . _ . . . . . CREW 2 1/2" _ _ nic � . - . . . . . . . . . . . �-,`,u,,��- ,l��3�3 ;vc : : . . . . .� �, . . . . . . ,���- � :�.�',��.ls Sealer . . . . . %. . . . . . . C:Ll..S i-"2aa��/C �.,''�L.L- 0......... ' � t . . . . . . . . . . . . . . t�/-���Sa:�' fl�, lL"1......... ��. t W �.ri _�C Sealer . . . . . . . . . . . . . . . . . . WHEEL � BARROW . . . . . . . . . . . . . . . . . . '• • CUSTOM . . . . . . . . . . . . . . . . . . WORK Regarding this installation is everything you wanted in writing? Customer has received lnstruction booklet. Customer agrees to pay required permit(ees. YES NO �r�o�,Please put it in writing,sign andattach. DO IT RIGHT ...THE FIRST TIME...BUY KNOX Inifial�