1582 Antler Pt - Zoning Permits & Plans I For Office Use I
City O EaEd I Permit#:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received:
Phone: (651)675-5685
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Fax: (651)675-5694
Email: plan ning(&cityofeagan.corn
2016 ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Property, Site Address: �Sg � /7n �1 f'' / G 1✓1 7
Information l
Owner Name: 2°E'/'�✓O Q �U(�✓ !�0 f
Name: J t l 1 ��S 7 Os� Phone: '�(�, d�o2
Address: J Q 7 T. S City/State/Zip: X,e M, 121°,/rte
Contact, Go
Applicant Signature: Date: 7 /
Email address: j C �� y d2 I j�C
❑ Retaining Wall <4 feet ❑ Driveway Other: S rx S'
1:1 Patio ❑ Sport Court
Type of Work ❑ Sidewalk ❑ Fence
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Description of work: /�o� i ��( /` e,� � e" Tv
Planning ,$etbackS"tiard;sutface coverage,9 reland,zoning bluff'zonelsetbacks;etc:
prove / Denied Date: 7 Staff:
Notes
Revised Plans
Approved: Yes/No Date: Staff:
:Engineering Gradingili ty easements�Wetlands, os ion control, improvements in the Right-0--Way, etc.
Approved / Denied Date: Staff: _
Notes:
Revised Plans
Approved: Yes I No Date: 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.gopherstateonecall.org
G:\Building Inspections\PERMIT APPLICATIONS
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