4637 Black Wolf Run - Zoning Permits & Plans For Office Use
City of Ea aPermit#: 111/(#51
r,
3830 Pilot Knob Road Y-/
Eagan MN 55122
Date Received: 3-a
Phone:(651)675-5685 MAR 2 ' 2017
Fax: (651)675-5694
Email:plannino a7citvofeagan.com
2016 ZONING PERMIT APPLICATION
o Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Address:
Property _ i
Information
Owner Name: /f
Name: Py • Phone: 6.5-/-- b.9y
Address: //Of / � �T City/State/Zip: :c.f. 4)
Contact /f
Applicant Sign. ) a Date: /2 /--‘T -c
Email address:
❑ Retaining Wall <4 feet 0 Driveway 0 Other:
❑ Patio 0 Sport Court
Type of Work ❑Sidewalk L I-g nce
Description of work: / .,
Planning Setbacks,hard surface coverage,shoreland zoning,bluff zone/setbacks,etc.
cp "rovedb
I enu
ied Date: 3,-<2 2 -l "7 Staff: A,It e £c
.
Notes•1-1-44-4'//"/ t.'� S. 1;. lL ' 5 eft
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VItLL +i r:11-1 1" c t . .-te..1 5 s;•-<.c At44' Lc4 55 ito%c cl.:73 . -'f 71i' ,
AM r
Revised Plans
Approved: Yes/No Date: Staff:
'teod
Engineering Grading,drainage,utility easements,wetlands,erosion control,;i- , ��, Y' • ":� t-of-Way,etc• .
Approved /Denied Date: Staff:
Notes:
3+: ybevelled
Revised Plans Hy. .
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.gopherstateonecali.orq
G:\Building Inspections\PERMIT APPLICATIONS
. , Premier Fence, Inc. 1 (4( (°5
il
1105 Homer Street • St. Paul, MN 55116
Office 651-698-4007 - Fax 651-698-1535
www.premierfence.corn
Name /� f j Estimate Date Order Date
Job Site Address 4/1‘.V7 I/1''� L.e., o/E l�-t �1.7 Rep Phone Good For Days
City Zip County Cross St. Page/Grid
H Phone W Phone Marking Notes
C Phone Fax Marked By Ticket#
Email Scheduling Request Aprox.Lead Time
Permit Responsibility: Premier Customer N/A Obstructions
Property Line ID (Aad,Cod) Removal/Haul/Footings Accessiblity
1
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fi 6-22--
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Notes: