1435 Blackhawk Lake Dr - Zoning Permits & Plans Feb-24-2016 06;43 AM 3M Company 651-458-2237 1/2
Far Ctlllee Ilan 1
fit of Eatan Y It
3830 Pltot Knob Reed
Eapen MN 85123
Phone: j pass R.o.n,.d: f
r«R:(851)875-M5
FBI;(061)67"M
E
2016 ZONING PERMIT APPLICATION
Please identify improvements on a scaled site plan drawing tltd shows lot lingill,structures
and existing conditions.
Property sne Addrw- V-2 GV1 S Z
Information
Omer Name:
Name: �(Y1�1 nr \L ,PVI ICle-erer phom. 507 2-I -v3 U 1 Z G
Contact Address; citylstakmo:
APpgoent Sipneturs: Dab: ,2
Email addrvee: (tj*�
0 RetoWw Wag e4 feet O Driveway
G Patio ��Delon O Other;
Type of Work p 6idsmak
once
DeecrOW of work t _+al I lain i
b0w,- ?,1r
Planning 996acka,hard surface coverage,shcreland mnin zo t�ca,etc.
App�rov Denied pehh, Ito
stall:
6) JA
Properly Ines to be v8ded
Rsvhad Ph= by contractor/owner.
APPm'ved: Yes/Na Date: ste
Engineering Grading,drainage,utility eamrrants,wetlands,etoMan contest.Improvemwft In lire Fight Way.etc.
Approved/Denied cote: gam;
Nobs:
Rerlsed Plane
AAProved: Yes/No pelt: gw
Commentis
C"sWoRe You Dili. 084 Q0P1W slats oak Gas at(941)4544M far pro"ott 4Ikot utldsrgevrnd doftw#& C*k
48 hmm before you Intend to dig to receive toeatee of undersround udWee. 7
Feb-24-2016 06:43 AM 3M Company 651-458-2237 2/2
Property tines to be verified
by contractodown8r.
d-�i5�1n� �,yain lint fe�ce
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120 ru-�-