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1006 Greensboro Lane - Zoning Permits & Plans � ^�� For Office Use � �lt 0� ' ��3�� y �a�a� � Pe�,�t#: ; � � 3830 Pilot Knob Road I � Eagan MN 55122 I Date Received: � I_________________J Phone: (651)675-5685 Fax:(651)675-5694 Email: planninq(a�cityofeaqan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PI'Opelty ' Site Address: �Oa�p l�j Q`e�/V S�O�b `� Information �/ ` Owner Name: �?'e 22 y V �'� ,�O/��Lt�� _ . _.... ... _ _ Name: �P��T �CaN��r-� 8uY lCNax ��_�S�—/J12 Phone: � S.W . n�ew i Address: oZl�I 5_T�- City/State/Zip: /j� IV - �5'I1� Contact , ApplicantSignature: Q,(iryv�� Date: g'li?311� O— Email address: bU�k�X /�-}}-Op. COM --- ��------- �. _..,.� ., ,.... . _ _,. , _ _ _ _ � Retaining Wall<4feet 1�Driveway ❑Other: ❑ Patio ❑Sport Court Type of Work ; ❑sidewaik ❑ Fence 'I Description of work: ISZWr.p U-[ � ^��L�E Pianning Setbacks,hard surFace coverage,shoreland zoning,bluff zone/setbac etc. __ �e�... a...,.�.M ...��.w,.. M...,�„ �..r.,�. ..,..�_�� .,,. .��n_ �,h. . , ...�.. n ,_... Apprav Denied Date. �� Staff: . es: _. _. _ Revised Plans Approved: Yes/No Date: Staff: . _. __ _... _ _ Engineering ;, Grading,drainage,utility easements,wetlands,erosion control,improvements in the Right-of-Way,etc. Approved/ Denied Date: Staff: Notes: _ . _,..., . , .. �. . .�,, . „ ,_.... .. _ _ _ . Revised Plans Approved: Yes/No Date: Staff: _, . _.: . . _ __. Comments _ _ _ _ . _. __ _ _. CAL,L BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 4$hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq GIBuilding Inspections\PERMIT APPUCATIONS .�� 1 �3 �38 � PHALT & CONCRETE BUY KNOX I NC, Details Yes No S`�r�y��l� , Contact Person�� p°;�� Oftice Use � �d Cross Street �s � -u �Y" � �•y'' �� Cable q Site Address •� ,�. P �, +� ,, g Drainage Probl. ❑� lJ��' �.:��;�:.��i (! �e� Electric Wires ❑� � � ityt,. HO,fne P/hone Gas line ❑❑ �"`�� `� �� Grade Change ❑� ZIP r ` Wo�k Phone Heaving ❑�] GR 'g� � � � Date Sold Cell PF�,one Overhead Wires�� Ci d.�� a l �'' �y� ' •�,��'�17 � �i. "� Phone Wires � �� ,:wj� Lead# Lead Source Map Co-op Salesperson Rooi Overhang ❑� Q �� f�� ``� d,.V � �� C;y�` Saw cut at street�� Sprinkler Systerr�� PERMIT.• Y❑N[� GOPHER: Y[J N� Tree limbs ❑�1 ��, � Date Applied: Approval:# Tree Roots ❑� --x==- Prop.Dist. �� Concrete-Sealers , Tree Stumps Q ' ��ay� SW SP PT BD WL FT P Water Shut-off ," + 1�2° 2" O/L Partial "� �., '�'` �"� ,� 2 63 A/C sealer Qsealer G ExCA�/ ' • � `� .�_. . . . . . . . . . . . . . . . � ea5 �h ,,�, heduling Concerns: e~�r-�� 8 � � � � � � � � � � �� None as Listed :2°'� � �� .��. � .. ,.r--- . 9�, �,d> . . . . � , ,t E� . . . . . . . . . . . . . . STEP � REMOV : I', ' ' ' ' ' ' ' ' � � � � �� E�� . . . � � � . . . . . . . . . w . . . . . . . . . • . - . ��r. SAW �� ,C,'��a . , , pp . . . . . OFFICE CUT r 1 ��° �:"�� v `��r� � w��_. . . . . CLAY �. . . � . . . . . . . . . BARRIE ��i��`.. CUstort ;!',�,'t,��r��,�� '� . . . . . . . . Work . . . . . . . . . . . . . . . . REPLA� . . . . . . . . . . . . . . . . WITF . . . . . . . . . . . . . . � A/C� . . . . . . . . . . . . CREW i�`�°' ��. 2 �� ,� . <vc . . , . . . . . . . . - � . . . 2�� . . . . . . . . . . . . . . . . . . A/C �C . . . . . . . . . . . . . . . . . . Seale� . . . . . . . . . . . . . . . . . . �........ n....... . . . . . . . . . _�Sea� . . . . . . . . . . . . . . . . . . WHEEL � � � �� BARRO . . . . . . . . . . . . . . . . . • .� • CUSTO . . . . . . . . . . . . . . . . . . � WORK Numbers on �ximate. Customer has received Instruction booklet. Customer agrees to pay required permit fees. YES [] NO DO IT RIGHT ...THE FIRST TIME...BUY KNOX Initial�