4213 Yorktown Dr - Zoning Permits & Plans -----------------,
For Office Use
City of Permit-I.1 i
3830 Pilot Knob Road k i
Eagan MN 55122 - I Date Received: i
----------------J
Phone:(651)675-5685 L
Fax:(651)675-5694
Email:planningfi)cityofeagan.com APR 14 2015
ZONING PERMIT APPLICATION
❑ Please identify improvements on a scaled site plan drawing that shows lot-lines, structures
and existing conditions.
Property Site Address:
Information Q
Owner Name: /1 6/J \J U/- a,4 4
Name: lr5?I{AL7 �OnaCi2%pr-e f3L,)y ki,1oX Phone: 78> -!1 ) a
Address:
Contact OD' city/State0p: In Pj,�5 . )W)\) s S
Applicant Signature: ,� � L? r y Date: q));z
Email address: U_ p X oo. eD m
❑Retaining Wall<4 feet Cepriveway ❑Other.
❑Patio ❑Sport Court
Type of Work ❑Sidewalk ❑Fence n A
Description of work: 4e pk A G 61W.4 y - Se r-
Planning Setbacks,hard surface coverage,shoreland zoning,bluff zonelsetbacks,etc.
/ Approv. ..l Denied . ..,.,., Date: 1P�- ..i(e�._.�,� Staff.._.,..-
Notes:
Revised Plans
Approved: Yes/No Date: Staff:
Engineering I 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-
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Comments. „ w__ t�. _. . _ .� .. . .
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
G:\Building Inspections\PERMIT APPLICATIONS
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PHATLT & CONCRETE BUY KNOX INC.
etails Yes No �ite ontac erson Office Use
❑ Cross Street / CL bi
Cable /�j Address
Drainage Probt. ❑ a
Electric Wires r❑ itq Home IPhone
fU
Gas Line ❑ f{� / W n S S
Grade Change 02r ZIP Work Phone
Heaving GR -5s
• Date Solil Cell Phone
Overhead Wi es❑Pf
Phone Wires ! 1111 1
❑ Lead It I Le d Source Map Co-op Salesperson
Roof Overhang • �� �� /� � �,;.? /��
Saw cut at street❑Or /J
Sprinkler System❑Of PERMIT. Yo N GOPHER: Yo N E
Tree Limbs ❑Eg Date Applied Approval.#
Tree Roots ❑ PrOp.Dist
Concrete-Sealers
Tree Stumps Dof W kG S SP PT BD WL FT p
Water Shut-off ❑n t 2 112" 2" OIL Partial G B3 A/Cseater Qsealer
EXCAVATE . e
s S
BASE Scheduling Concems:
E/B
None as Listed
E
2 � .
STEP W
REMOVAI •
EXTRA
TRUCKS •
IWOUT 3
SPECIAL A INSTRUCTIONS:
SAW . . OFFICE
CUT
Little Bat .
CLAY
BARRIER
Custom •
Work .
REPLAC
Z_WITH
A/C 2,: . . CREW
2 112" ? -V
A/C . . . .
2" .
A/CCC
=Sealer
z s'
14%
11.5 OF Seale, . . . .
WHEEL 4 )3 701�/`���/V I1� CUSTOMER •A.
BARROW c
ROUNDING •MTC
CUSTOM G � DISI •i
WORK
Numbers on drawing are approximate. Customer has received Instruction booklet. Customer agrees to pay required permit fees. YES ❑ NO.
DO IT RIGHT ..,THE FIRST TIME...BUY KNOX Initial :� _