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3895 Princeton Tr - Chicken Permit & Plans For Office Use City of Eapil Permit#: 7L/26 3830 Pilot Knob Road Eagan MN 55122 Fee:$50.00 (collected by City Clerk) Phone:(651)675-5000 "1� 1 6 Date Received: 1-4 d 7-4L CHICKEN PERMIT APPLICATION Please identify coop and run information on a scaled site plan drawing that shows lot lines, structures and existing conditions. .` Site Address q - for chickens: 3 l rf �'f' r) Tjz� , Name: hKi� /� u 7eLezk1 Phone: 9-45-a'-83cSaZ. u Y xtiicnt Applicant r Signature: i t ,. Date: Ilia/:/ 7 Email . raddress: d5 .ZU-, e a�Q_, coin La Owner Name: j /k M zt Address: 3g%- Prrnee 0fi '77w i 1 City/State/Zip: &VR/US 2 pe y Property Owner Signature � r , (if different than applicant): -� � `�.„ , . .-e_4'' Date: Y1;,17oriiiit! _ .. Al tn a The above referenced property's Homeowners'Association rules, if any,do not prohibit the keeping of chickens kon the property:(please initial) = Yes No Not Applicable ir Number of chickens: �� ` y I_ Dimension of chicken coop: 5 ;C'5 1 Dimensions of chicken run: /0 'xG� ti e i Pz6 '' Description of exterior oo /Rud_ _ materials for the coopp and run: 'Doak/Ty rte:6-iy Will a fence be added in addition to the coop and run? Yes No y- Description of fence, including a P pay aim yPncec/ location,size and materials: r� Page 1 of 2 G:\Planning\CHICKENS (qt? 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�!�!'Ji1� Mah.1,5 ZP k' x ur iG Applicant's Printed Name Applicant's Signature • • oved 'enied Review Date: 51 1 -7 Staff: /9 • Revised Plans Approved: Yes/No Review Date: Staff: 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 Liktr\cykon jl cPha t yi Ci r�,kek�c / ` � C� '� r �a shy io44- 51� c -- - -as-V1-- - - ran 6'9-- 3(0-P-1- 1% (c41 v'i ck r • rt tint chain 4' qa x� J x,2 cnt , -4-Do flax. 010 -us k.1 cti(yams 1 Pnr Q O Tax385