3605 Ashbury Rd - Zoning Permits & Plans 04/25/2016 19:49 N0.725 #001
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City of PRORD ; Pemilt#:
VAUj V&3830 Pilot Knob Road l I
Eagan MN 55122 1 Date Received: t
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Phone:(651)675-6685
Fax:(651)675-5694
Email:planninafi52citvofeaaan.com APR 2 5 2016
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines,structures
and existing conditions.
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Site Address _�
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,.;.•......:.....:.• :,°.''' Owner Name: ► >2
Name: Phone: �'��� " .�,,,..•
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Address: ( � �� yGL U �V _.> City/State/Zip: �l �'t t `.� .�✓ �,1
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:....:........: APPHcant Signature:
.. ...... Email address:
13 Retaining Wall c4 feet riveway q Other:
o Patio o Sport Court
'`Typef1VAlork..:, ❑Sidewalk Q once
Description of work: ,
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Rlsnr�ltlq:' :. SetbaOks,:hB1 Mu. -cove blulf orielsetbecks;;etc:;'; ..;..•.:.,••;:,';::;;';::;:"•;i:;r:;::: ,::
Ap enied Date: "� "l staff ' . Q L�
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Revised Plans L r7
Approved: Yes J No Date: Staff: ,
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04/25/2016 19:51 N0.725 #002
The Twin Cities Paver of 'Choice - �0
ESTIMATE By: t - ' - Z�`D 3 (.p r3c-_)
Date. _ � ,.• 'ii�:iit,
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Name: 64 c1c, ev
Address: tC S S� S v U' � BBB
City: J✓ 4' V, -?zip:55 � P T E3 T: ' _
❑ Phone Zvi
No Yes No Yes
❑ Phone Replace as is ❑ Water shut off 0, ❑
❑ Flares U New Cover Ci'' L:!
StumpslRoots U R/ Drainage Problem M" ❑
Ver it if needed U Design on separate copy
emove Asphalt(Extra charge if over 4") ❑ Sprinkler heads?
❑ Remove Concrete(Extra charge if over 4")
❑ Apron removal 1 car 2 car 3 car
dl-<ap Blocks 3 (Does not include foundation work)
❑ Re� ` Gravel,Dirt or Sod
Z]- ce,after compaction _ --� l
❑ Your existing base and ours
"Regrade for proper drainage 3
ZL-_3t_Hot Mix Asphalt compacted to
❑ Addition to drive ��
❑ Concrete, see concrete form
Q-,Approximate Square fee A p!�
La— r r.vvdi itaiiiy
fj �'� Yr.Asphalt Protection Plan(see details on back) I
Options: (Not included unless checked and Initialed) u
n khric Installation SF $. 15
❑ Permaloc LF $
Customer Initial
Estimated Cost:
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Down
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Customer Da1e
I have read and agree with tho terms and conditions on the reverse side. A 00
SIGN AND RETURN WHITE COPY Property Dine?
U Compd ❑Subpd
7745 2nd Avenue S•Richfield, MN 55423•Ph:612-866-8836• Fax 612-866-8078 www.richfeldblacktop.com
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