4175 Pennsylvania Ave - Zoning Permits & Plans I------------------I
I For Office Use I
Eapn 4'r City of I Permit#:
I I
3830 Pilot Knob Road I I
Eagan MN 55122 i Date Received: I
Phone: (651)675-5685
Fax: (651)675-5694
Email: planning(&cityofeagan.com
2016 ZONING PERMIT APPLICATION
Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Property Site Address: 1 I � io vn V !�
Information
Owner Name: l L
Name: r'v` J2�'� Phone:
Contact
Address: 4` fS 10 G''�+Za ��•sw, ,., �1►( City/State/Zip:
/ � '
Applicant Signature: 12t" Date:
Email address:
❑ Retaining Wall <4 feet ❑ Driveway Other:
❑ Patio ❑ Sport Court
Type Of,
Work ❑ Sidewalk ` ❑ Fence ,
Description of work: ! L tl
P Setbacks, hard surface coverage, shoreland'zoning, bluff zanelsetb etc,
Approve Denied Date: Staff:
Voperty lines to be verged
by contractor/owner.
Revised Plans
Approved: Yes/No Date: Staff:
Eng neeridg Grading; drainage,,utility easements,wetlands,erosion control, improvements in the Right-of-Way, etc.
Approved/ Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes/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
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