4530 Ches Mar Dr - Zoning Permits & Plans For o f Use
Permit
City of Eap
3830 Prot Knob Road
Eagan MN$5122 gate --- -----_—¢
Phone:(961) 76.5686
Fax.(661)6705-5694
Email: lart 'sn a ofaa"an.00rrr
ZONING IT APPLICATION
® Please Identify improvements can a scaled site plan drawing that shows lot lines,structures
and existing conditions.
Site Address'
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ALL BEFORE'YOU DIG" Call Gopher State One Call at 661) 02 for protection tion against underground utility damage, Cali
8 hours before you intend to dig to receive locales or underground utilities. j4DMLqo hsrs tdcs Salta
G:kBuilding InspectionsWRMIT APPLI T'lL#1 SQ01 tX2011 Permit Applications
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Flares New Cover ZIP- Ql
Stumps/Roots 1:1� Drainage Problem r
errnit if needed }elgr�on separate: p D Sprinkler heads? Property lne
• ernove asphalt extra.charge if over 4m
Remove Concrete extra charge if over 4" '
• Apron removal 1 care :2 car ,.._ 3 car
• Cap Blocks (hoes not include foundation work
• Remove Gravel,Dirt or Sod
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Base,after compaction
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e rade for proper drainaget
Not Mix Asphalt compacted to � /
U Addition to drive
Concrete, see concrete form
la-Approximate Square feet Joyff Or
Yr. warranty will
"Yr,Asphalt Protection Flan see details on thick
Options: (blot included unless checked and initiated)
Fabric Installation SF
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Customer Initial , F
Estimated Cost:
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Balance ANEW
Property Imes to be Verified
I have read and agree with the terms and conditions on the reverse side: 1 by contractor/owner.
SIGN AND RETURN WHITE COPS`
7743 2nd Avenue S, Richfield, MN 55423- 'h: 12-366-3836• Fax: 612-86 6-8078-www.richfieldblacktop.com
Licensed $ Bonded • Insured