4474 Oak Pond Rd - Zoning Permits & Plans 'i ------------------
For Office Use
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f City Ol Permit#:
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3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received: j
Phone:(651)675-5685 L----------------
Fax:(651)675-5694
Email: Plannin-g(&citvofeagan.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PROPERTY Site Address: LJ (� V 0 Vid kj
INFORMATION l
Owner Name: Eo I' q l IC J G �{�
Name: v t� V + Phone: —Z�G. a9L
Address: ' t t� (�( City/State/Zip: C! r �3
CONTACT V
Applicant Signature: Date: i�
Email address: Q C�
❑ Retaining Wall<4 feet ❑ Driv ay Ot
TYPE OF ❑ Patio ❑Sport Court
WORK ❑ Sidewalk ❑Fence
Description of work: x ��
,P UW.NING Setbacks, hard surface coverage,shoreland zoning, bluff zone/setbacks,etc.
Approv /Denied Date of Approval: l Staff:
The owner/aPPalieas a t5
responsilbla for ccmplli nce with � rty contractor/owner.
trac o oe verified
torlowner.
Revised Plans
Approved: Yes/No Date of Approval: Staff:
ENGINEERING Grading,drainage,utility easements,wetlands,erosion control,impro me is'n the Right-of-Way,etc.
Approved Denied Date of Approval: 3 ?l It�,. Staff:
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Revised Plans
Approved: Yes/No Date of Approval: 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.ciopherstateonecall.org
G:1Building InspectionsTERMIT APPLICATIONST01 1=11 Permit Applications
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