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1844 Walnut Lane - Zoning Permits & Plans 09/28/2015 18:50 N0.572 #001 �� ----------------� � For Offlea Use � . � � ��� 1 � City of Ea�a� ; P�„n,,�: , � 3s30 Pilot Knob Road � � I Date Received: � Eagan MN 55722 �----------------� Phone:(661)675-b685 Fax:(631)675-569a Email: plannina(a?cltvofesgan.com ,< .. J ZONING PERMIT APPLICATION p Please identify irr�p�overnents on a scaled site plan drawing that shows lot lines,structures and existing conditions. ' ........................ .�.._..�.._.,....,,� �.:.:°:,�:::::: .::::..:" 1 c� � t,,�l�+� .�1�?� � �--• � :;.::::;:s�::��;,;,,;,,;,;,,,;,;,,,,,;;,;,;;,,;�:..:� ;<;'`;�;PropertY�.:��:::;: site adaress: _.:... . ... . ��Informatton�::�;i� � 1. ., ,.:'a��v�i,s:;,,;�;;�;.;��:�,,t;n:i,;;�;;::,,� .., ........ ..... .. ._� 1( C�d�'1�r� �, .....:...........::....:.:...... �..,;.,;..,..� Owner Name: a .:�;::�" .,. . .� •,( � . � ' / `.��� ,;,�-�. "�r`^,v�..J�,,:� : Nartie: i���.��l .t L �:�,��� Phone: ��!�• :� ... .,... ,., ,.,. ��•..:..•....:..::..::.:::..:�;.:.:,.:.::,. - �.;�;c:•.:��.:•:.:.:�.:,:::•::....•...,.:.., ,; .,.;,.,,...,,,:�::::.,......•.:.:�:;:::.:;.;�..::, .....,..,... ' ............................................. �......:.............:..:.....::...„,.�....,; � .:..:........:..:•:•.:•::•;:�.�••.�„••. ddress C ty ta _ �,` 1 l ! �1; � () c�'�� ' ';� ,.,..... .... .... .... . • A : ���� y � l7�V'�.r � (S te/Zlp: 1��� �',,: .d � L �: ; ,:.1���.� ��;a ;:.:::, .�o�,��� � ; , ��.. � �--�-- . . - — .:. ,,G� 9 ) �,�r�;,;,;;,;;;;,,,;,;,;,,;,,;�::::..:,:,:,,...;, 9 t r-1 . y.. � APPlicant Si_nsture: � '�;+.:�� -� , ... Da e:X�!�� 1 Q��._/ � ....,., .... �,h � { �� � ' �►� '' ���.���7r,���:u�G��'1 ...:...:.::.:.:..:....:.:..:.::::..:::..:..:�:..:.,;.;.,..,: ............:..:::::..:.:.::.:.::..:::..:....:::.. ... ..........:....:....:........::.::..:.:...:..::..:.:.::..:... :.:............................................ ....::.:....:.::...:..:......:....:..:..:.::.:::... .. .•:.•..,•. �::;: Email address: •, .� ' ,. C:� � .......,.._� .:.::....... .. ..... ..... . . �.�._._.,..., ............... . ...:•.•..:.•.::;;�. • � �� ��� •�• '�-� �: ❑Retaining wall<4 feet �riveway p Other: ,'�:,:,°:;:;�;::,;s::::>::'�;�;;;:,��`�`� ❑Patio ❑Sport Court -,...w �i'`T'yp�e:�iD�`�I�lork''. O Sidewalk `� � ence � � "� � �,: Description ofwork; �;'� � ,. ���;�'��"U �� � -"' �:� .�1' ����`" � : �. i ...� .,•,.:•.:.... .. ..::..•;,:,:.. . . . • , .. .. . . ,...: . •;;,;,,,,,;,;,�: • - ::•:••:;:•:;::;•,;::;;.;,.;..,.;, .�,;::::�:::::::�:::::::::�::.•�:.:::::;::::::•.:::::::: . r„�:ii, ........ ... .. ....................:..... :..::::::::r.:.:,:::,::::::..::;:.':�::.:.:::'.P�:•.�,.:�-.:.:`��:":'"::, . :�;..�,i,:::+,�:+iii'ti:i:•.:�;�:;:,..,:::•:;::::;:;;:,�..,..,., ;,.... . .•:•,. ,.:•: .: :� .. �PFat�mh:g.::';:,, ;;5stbacks�,�ha�;d;;s.yr(aee;•,o�Net�9ex's.�Prela,nd:zo��rag,,�iJuf�'�an�,'se�btadt�;�:etc::;::;.::� � .,.. . � ...:.......... .... ... . ,......:...:.... .:::.:..:.... ; .,. ... ...,..:....., ,:.� . ... .......:.. .,... ..,. „___._.r.. _-..� ---- • , - �(P.�.x�d/Denied Date: � ,��/� l�_ 5taif, c ��-- ..,......... � "l-•-, - ..._.. —� Notes: � Revised Plans �� Approved; Yes/No Date: Staff: ,__ • � . ...,_�.�,•,-,,;,,,;,;,;,,,,,. :::�,:,:,.....,.. , . . ... :;.,:.:.... ....... . ....... .:. ....... ......: :�.s:!;�:�;;;::::;::.:,;.,.;:::... ..:?:;i;i;i-i:::i�fl;::•;:;.:�•..:.:;.:::;i;:{.,::::,;:;;:::f;:�:;�f;fi;�fi?:�::::i;::,;:;:+:;�;i�:��'::�::i::i�::::'€::;;:�.;;f;;�;°;i:a.:.;:.::..;::.:."•.:'�'..::.::' , . ;��,�;Engliteartng':;:�: :�Grsitltr�'9i dralMag�;;:ulility�:�asEmen��;;wetl�.�cls;;er.oaiorr:cant�!I;�m�prv.tir.eMe�ts,:an�th�I�g�st-o,f.,Way,:etc. Approved! De�ied� Date: . ._.�_ Staff: � Notes: --....���. , . i ...,.M..�,.,,,�.:...�.,..,,�.,,...�..,,..._.._ Revised Plans ., � Approved: Yes I No Date: ___... ,.., Staff: , „___ _..., ,. . • . .. • �..._._M,i y.� .f• iiC��.. .i'7,� • �� �„ .... . .. ...... .,...y.. . ,...•..:. .., . :...." .. . .... ..........:....:. .. . . •. . . .• :, .:�.;..;;:;.•...,;.......•..:•,• M� �.-.��+��.....�..,.,........«., CALL BEFORE YOU DIG. Gal1 Ciopher State One Call at(651j 464-0002 for protection against underground utility damege. Call • 48 hours before you intend fo dig to recsive loCates of undergrour+d utilities, wrvvw.aoal� cs�teonocali.or� • G:18ullding InspecdonslPERMIT APPLICATIONSt201112411 Permit Appllcallons 09/28/2015 1$:50 N0.572 #002 }���� � � � . - The Twin Cities Paver of Choice - . , , . . . . • �c�r�w�w�c ., � 1��..,� 1 .� �i�-� r_, � �G: n�r�,, rv ■ ■�*�w■ � Oy. v��• �•r' tr .e" • v�. U c� r � �• . ,�;� C! !�S�Gl�"+ t� � ° •u;9�fiir''�<, Date: � �� I .-:.�.:..:.:.:........ �...r e V�iijj:'rA'i1'OkDlly!•'.��:, � j� :. . .��tl p q �;,:;;w�.��� ;��M;�- Name:._. =��a�— o �/�l ,�;��'� ;:���.� �:, ._. . Address: ���`� I.rv /�G-�(�9'"' L-�4�� � � ���'',�.��:�� BB�� ',r>« ��a,�.. B � •:s:.a::. City: r, ���,f�'I°✓ Zip:55 1�—Z- .,, ,:�. � �: � : • . . . P O ��; ❑ Phone �� """""" � �•�r ,. ���+ r �G�� __ No Yes� � Na Yes hone . - Replace as is �� ❑ �Water�shut off � L'J � � Flares �, U New Cover � ❑ . Stumps/Roots 0� ❑ Drainage Problem 0 _,._ ............ . d Permit if needed �"'�7�r�•� o+�c.Y �`t=.n�� '� Design on separate copy � � � � ❑ Remove Asphalt(Extra charge if over 4") D Sprinkler heads? �emove Concrete(Extra charge if over 4") ❑ Apron removal 1 car 2 car 3 car �"���"' . ❑ Cap Blocks ,(Does not include foundation work) !��tB 1/e- �-�'ir't�l�� ��Cf 6 C� G�i'Remo Gr va e Dirt or Sod�'' �N����'l� � �''�gase,after co � ',n,� � �.r�t.� t[� v� �•��.�.�-• W�t �1�,� B''Your existing bas and ours � 'r ��'�'—' "" ' �grade for proper ramage ` " Hot Mix Asphait compacted to .� � � �' �-�-t� R�ti�c.�..� � ��, v���ti1.r ��� on to drive,_,_� ' I�'Concrete, see concrete form ��cl:•"�'�' FJ���Approximate Square feet �jf� ��-�-c-F-�.� . - � � �'�,�Yr.Warranly •r�� �'���" : ef� �S~ Yc Asphalt Protection Plan(see delails on back) ��� .,�����, � ��� ' Optlons; (Not included unless checked 8�d initialed) y � . `•, ;i �I' .'' $ �� � �y��;��;n��„ � ❑ Fabric Instaliation SF � �rih�=•� �'��,, t� '��, i 61 ermaioc LF .�S'� � :,''$ �Q� ,,. � ;����� 'sy j� (L � � 4 I `�. �r�q �y� ('y�➢�i 1'� 's ,� ' ��`'� I Customer Initia����r___�aL`�'1 �� —�.r'.nr'' � __ I ��/J�� ���� � ;: �-�, � 't• . ,, I, � ., ��; s z �'.� , , ' ' v � �r' I''q��IA1�i.��i'''� �,;� �O I� /�'t�� '.�"� I � ti� 0 1� U�u�lUi����aN11F A I� I Est mated Cost: � � , o � � . . . � �� i .�., '.� � 'I . Down 2�? F� � --�j �J U�' �� � ' '� 7 j i. , Balance � 7 � �' � .3d . � �� �' �,, , X '� ' �. � ,�'yl 1 � �;, � �` � �I l�h�r Cuslorner Appruval Date • �* I have read end agree.with the terms and cohdltlons on ihe reverse side. �I i �Pi�.,� p�,"r�,�,,,;�`Q � SIGN ANp RETURN WHITE COPY - �►'{ /��° �' (Q .� � n ��o r� � � . ,�V�;����. ,;/v t� c; _ ., � ,� 1��� �, C•' unmmt7ultu�:g:;l!iI111U1u tll�hni�« ri:r._.r'•••_•••••;:�:;� 7745 2nd Avenue S� Ri 1��eld��� Ph:612-866-B836.•Fax:612-866- u r�•www.n ie �lackfop.com � , ��J �,L�censed � Bonded • Insured . �