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875 Wescott Rd - Bee Permit For Office Use City of Eaaii Permit#: /L b 3830 Pilot Knob Road Eagan MN 55122 Fee:$50.00 (collected by City Clerk) y� Phone:(651)675-5000 �` Date Received: d 3 I 7 BEE PERMIT APPLICATION o Please include a detailed sketch plan of the lot on which the colony will be located including the lot dimensions, proposed location of colony hives, accurate measurements in feet and inches of the proposed location to each of the lot's property lines and dwelling units on all adjacent lots. '17 Site Address for Bees: S15 \ sco-n Rc c Ea. h M1Q SS)&3 Cr,(2-8v0 �o3 ) tel Name: SANWA W Phone: OSI 7Q S pica Signal nt re s` N GLs 5 c95- l 7 Signature: B' �. j Date: Email address: Ulard•,SD.-114 , e�.v).0� (m& ) r (C514/-1 Owner Name: Address: ' 7S ` e.QccD" � City/State/Zip: a��G�V 1 /11/K1SSb� J IS PropertyProperty Owner Signature (if different than applicant Date: I matiot) , 17 � `s � The above referenced property's Homeowners'Association rules, if any, do not prohibit the keeping of bees on the ", ' property: (please initial) Yes No Not Applicable Number of colony hives: Beeper Information °° Description of flyaway barrier: ' )C}N.{cL Na_a_OQ.`) 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 ® x Applicant's Printed Name App iicant's Signature Page 1 of 2 p�ltiht s Approved/Denied Review Date: 60/79/9 Staff: / , Notes: 411 e_,e( _A -� R�f/� 7D /V C,(��,a �- Q�-G �3L i 1/1✓5 Revised Plans Approved: Yes/No Review Date: Staff: ay T!. J, a'roi i t A`1 - `4Y;. P - µ y , Approved/Denied Inspection Date: Staff: Notes: After a permit application is approved and the hive receptacle has been purchased, an Animal Control Officer will inspect the space for compliance. Once the structures are approved, your bee permit may be granted. 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N <k p a � �ns i. 'r trxiaJ .'0. �vQ' a, ..,_ ) l LL cts o v o W W 0I � 0 WWM a CL W C TE cc o �- o U) c a) U O N (6 N O O• N r.0 f/) N ca. O a0 o f6 N L N @ N fn O H H�O a)Q s a.+ r ' 0 O V C O ti Ea ti U am City of Eagan Cash Receipt Receipt Date 5/30/2017 Receipt Number 217609 SANDRA WARD 0401.4118 50.00 BEE PERMIT Total Receipt Amount 50.00 104037 15:43:34