780 Canter Glen Cir - Zoning Permits & Plans Driveway Repair Inc. 763-753-8100 p.1
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_ w �`'ev, i Permit#:
Cal 61 a � i I TO I Date Receiv ed: _— I
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3830 Pilot Knob Road
Eagan MN 55122
Phone:(6511675-5685
Fax:(651)6575-5694
Email:^lannina cityofeaaan•c—°—m APPLICATION 2016 ZONING pERN11T p►P lot Imes, structures
that shows
Please identify improvements on a scaled site plan drawing ---------
and and existing conditions. /
Site Address: ,,,—�G" f
Property 2
Information
Owner Name: _ / 2 `•
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Contact Date: I
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Applicant Signature: i
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+„ Driveway ❑Omer:
❑Retaining Wall<4 feet ❑Sport Court
[3 Patio
Type of Work ❑Sidewalk ❑ Fence
Description of work:
�x
Planning Setbacks,hard surface coverage,shoreland zoning bluff zone/setbacics,etc,: _-
1
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Date: —
i, Notes:
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7
F Revised Plans
I Approved: Yes/No Date: Staff
i Engineering rading,drainage, utility easements,wettands,erosion control,improvements in the Right-ot- aye
t
k Approved/Denied Date: Staff. 6
Notes:
Y
f
o Revised Plans
Approvea: Yes r No Date: --toff:
Comments
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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
WBuflding InspeclionsTERMIT APPLICATIONS
Driveway Repair Inc. 763-753-8100 p.2
320 E. Main St.,STE 8-14 t ��
DRIVEWAY-REPAIR INC. Anoka, MN 55303
Office: (763) 753-1629
Fax: (763) 753-8100
E-mail: info @drivewayrepairinc.com
vwwArivewayrepairinexorn
MN Lie.#BC664770
PROPCSAL SUBMITTED TO_ HOME PHONE DATE
lax �% 6aY-- `2 61-1111-
STREET WORK PHONE# FAX
CITY.STATE and ZIP CODE CELL# ESTIIVjQnS }
EMAIL O/C TIC C/C REF JOB CODE
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