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3296 Sibley Memorial Hwy - Chicken Permit ------------------, For Office Use I �1, n O� L�non Permit#:City / `'� [ ✓Ac I I . 3830 Pilot Knob Road I Eagan MN 55122 I Fee:$50.00 (collected by City Clerk) Phone:(651)675-5000 1 ( ( �- 11� I Date .31 1 L-------- 1--j------j CHICKEN PERMIT APPLICATION Eg Please identify coop and run information on a scaled site plan drawing that shows lot lines, structures and existing conditions. Site Address Site Address +�`C`1 14&dt - r for chickens: 0f G ( 3 Eanan m 12-�5 la Name: ff(A) 4QC0 Q Phone: (r5 t D71 `1 L 0 ! Applicant Applicant Signature: ` ( Date: Q Email / address: a o d— all t ry t��I Owner Name: Q Address: 3 �1\ h City/State/Zip: �w (r n m N 5� Property and Property Owner Signature Owner (if different than applicant): ' z f Date: -Z) .ZQ Information ti. The above referenced property's Homeowners'Association rules, if any,do not prohibit the keeping of chickens on the property:(please initial) Yes No Not Applicable Number of chickens: Dimension of chicken coop: H X Dimensions of chicken run: ( X 1 X W Description of exterior COOP/Run materials for the coop and run: Information Will a fence be added in addition to the coop and run? Yes No Description of fence, including location,size and materials: Page 1 of 2 G:\Planning\CHICKENS I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. I acknowledge that structures will be constructed in accordance with the approved plans. x w t Q x dzut�-- Applicant's Printed Name Applicant's Signature Planning �Pproved Denied Review Date: .,3 � ✓ l./ Staff Properly lines to be verified by contractor/owner. Revised Plans Approved: Yes/No Review Date: Staff: Animal Control Approved/Denied Inspection Date: Staff: Notes: After a permit application is approved and the chicken coop and run are constructed, an Animal Control Officer will inspect the space for compliance. Once the structures are approved, your chicken permit may be granted. Page 2 of 2 &\Planning\CHICKENS v1 V j � aJ 1 � � t 1