1470 Highview Ave - Chicken Permit -------------------
For Offte Use- j
4
Raj
3-9-350 Pflot Knob' ad
Eagar.MH BW22
Pbo-wen 16511 S-75-75000
------------------
KI T 0
C14.IC-KEYV PERMI APPLICATION
P fi
foT miatior. on ascamled s- ite-plan dr"fingthat-sh-ow-mn 10-11-lines.
Li n
-structures ar-d existing condjtjcms�
I-Ul-e Address Site Addvess
Name:
(A ca" -Phone-, -57 5 -2
A '[Cant ]
Date.-
Cm
addres&- mox)
A i-w e, Cla h,6T,
avvnerNarn j/]'16-Vjt(S5t
-Address_
T7b �i'eA Cite ta I SIZ Yl.MA)
Pr*perty and r -Sig
f Prope - n me
t - Ay Ow
/14F
Ownev 1H flifferenttf—mln ar)-lican"t Date-
n
uovereferen--eu�properL:;sHomeAa��vn-ers Associa'uant-Ltlez�,.ifa.-I-y,-Ltai7,,:,-L-prot- itutekeepi gofcIffickens
c- Not Appric&fe
Number of ch-MIKens:
DI-IMIFMIon of chi�cen coop:
Dfmwe�sions-of chickent n in--
Deb-C-07,101n of exterior
COOPIR-un rmem"for the coW and,.,Ln-.
!Wforma4don
WIN'a fenc-�Lma added In addition ic-th-e coup and njn.--�
yes
lie-script-IOn offence,inc-cluding
locatlon,size and matertaks:
Page 4 of 2
C.-3 (_0 3
1 hereby acknowledge that th[t,mfor-r-quation is co miplete and accurate.that the work vvilt be in conformance vAth he
ordfina-mes and coda-s of the tit of Eagan;that I understand this is not a p-armit,but only an application for a permit. 'I
J
ackaomiledgm that struclures%mill be construct u in accar-darme tai=!tlae approved plans.
,x jAhLCA (Aa IGI
ca t'-s-Printed Rdne ApplicarMs-Signature/
plarip-JI-19
5-lq[I
�A 6
�Mpjprove Den�ed Revt-e_w Date: StaM
Notes.
-Revisep-d Plans
Approved.- yes my Review-Dat—a- _StafE
Ai-flmal C-orAvel
Approv,edj_ -,--d ir'spece�wn_Date
Notes:_
After a-perm-mit aPp-lication i'--- amp u-ed-and Ome chicken-co-a -d-rr constructad are AT -Offic Ans ect
an jn are nimal Control will I PF t
th C f Ce
the structures are approved, -rourchidkeen,permmtmiakYbe:L u.
Par-me 2 of-2
FLINT HILLS
R Fir eSu l` CeS
CALCULATIONS AND SKETCHES DATE
• f4no ftnd Refinesy SHEET OF
SUBJECT TOPIC
BY
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