4772 Penkwe Cir - Chicken Permit Y `
1
- 1
E
For Office Ulsee#1101" Cityf .�Permit#: / //
3830 Pilot Knob Road
Eagan MN 55122 Fee:$50.00 (collected by City Clerk)
Phone:(651)675-5000
Date Received: tai t 11
L
CHICKEN PERMIT APPLICATION
5 Please identify coop and run information on a scaled site plan drawing that shows lot lines,
structures and existing conditions.
Site Address Site Address
I for chickens: '4772 Peak brc-le.
Name: Ofi I'>5/!mC jl ii2e Phone: (o 51- &13&r 0 II 7
(
Applicant Applicanti
Signature: ?i '" i 'Yt� Date: 3--17-go 7
Email I
address: V4 rlic- lie I fie- 0 COmlcA14• n e+
1 vecho4 N u n) cii rr54)ex C t1
Owner Name: tt?(a'1e
i
Address: 4772 Pen+5.1.4, Ci cc. -, City/Sta /Zip: E A /4 4) g S IZ Z
Property and Property Owner Signature ^ 1
Owner (if different than applicant): 4404: 4 r / Date:3-c 7 U 17
I Information
The above referenced property's Homeowners'Association rules, if any, do not prohibit the keeping of chickens
on the property: (please initial) t
Yes No Not Applicable
- SZ
i Number of chickens: r ) X ($ }
5t
Dimension of chicken coop: 7 8 Xq 10 , cA.
Akts •)
Dimensions of chicken run: 1 L x PH
Description of exterior I
COOK/Run
1 materials for the coop and run: 7-I)'( 6)C, Shine (scOT choi ri it Ilk rt .si
Information ,J �J 1
Will a fence be added in addition to the coop and run? Yes X No
10 Description of fence, includings o ! location,size and materials:
Page 1 of 2
G:\Planning\CHICKENS
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the
ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. I
acknowledge that structures will be constructed in accordance with the approved plans.
x 644,44‘;:c._ J�✓//ice x Vic:Applicants Printed Name Applicants Signature
I Planning
m
fin.. Mu w
Approved/ Denied Review Date: 029 /7 Staff: �; ,1
Notes: 01'l(Vt E'V'V►`l 14tc�1 red "c01� "rCYIcC� 1� O rte. i S '" b _
5
Lii ± . �4" mp`X(rnoi o-F ±w0 �CCeSSS 3 '1� r2° S
Revised Plans i
Approved: Yes/No Review Date: Staff: i
Animal Control 1
Approved/Denied Inspection Date: Staff:
Notes:
.
After a permit application is approved and the chicken coop and run are constructed, an Animal Control Officer will inspect
the space for compliance. Once the structures are approved, your chicken permit may be granted.
Page 2 of 2
G:\Planning\CHICKENS
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