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610 Sally Cir - Zoning Permits & Plans e _ Eq Pit ian d 3530 Pilot Knob Road d 1 Eagan MN 65122 Date Flecelved: � Phone:f681)676 a----------------- Pax.(651)676-5694 mall:gJapaingne ftjaa—,com PERMIT ZONING I TI 0 ;Please identify irnprovemantson a sicaledsiteplan drawing th tsh" of linesstructures and existing conditions. Site Adi I ress: Owner ante: ,... F Alrrae: Apolidai it Signature: Date:jl;� Email address., � . l ; ing Wall 14 fit rlvevy 0 Other k 0 P 0 art Court ly O�d id } s f� yy 4 a } ii([; Yg 2 t ry tried date. tea . �._... Revised Plans App vpdt You]N Date., Staff ttt lit etc. Approved I Denied Datc. Std Revised Plans Approved Yes! late Staff M, 4 CALL BEFORE YOU D14. Call Gopher State one Cell at f$51)'454-0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates ofunderground utilities. wwwgootterskitgrIgIll _ tildinq Insp"ttoea tP i»MIT APPLI ATJONW01 X2011 Pemilt Applications •. b �, a { �04 Name: E t Address: City. : P, j 1 N Yes No Yes • Phone Replace as is-l—, L Water shut off W 0 Flares U Er New Cover U Stumps/Roots:, 41 Q Drainage Problem k-Permit if needed l J Design on separate,copy Q pda ier eads? Property Line? , emove Asphalt(Extra charge if n ier 47} Remove Concrete(Extra charge if over ") Apron removal f car gar_ ..._.. car U-Cap Blocks (hoes not include:,foundation work) e o ravel,Girt or ;.. Base,after compaction J Your existing base and aura a rade for proper drainage Hut Mix Asphalt compacted to J Concrete,see concrete form "-Approximate Square feet ' -�_ r. Warranty uf r,Asphalt aeiiei Plan e5 oons pt#1 . (Net included unless hece and initialed) Fabric Installation SF _..m. r J Fermaloo F I —,y1 Customer Initial Estimated Coat: . Down alance ._m.t,,. i have read and agree with the terms and 0 nditions can the reverse side, SIGN AND RETURN WHITE COPS i { i 7745 2nd Avenue cheld,M.N 85428 a Ph:612-86-6-8836-Fax,612-866-8078 v wivw.richfieldblacktop.corn Licensed - Bonded - Insured