4901 Safari Pass - Zoning Permits & Plans For Office Use
City o Permit*: /q'J Lf //
3830 Pilot KnobRoad
Eagan MN 551 DateReceived-,
Phone:(851)675 8b _ W � _ �,
Fax:(651)6754
Email:ofanni ity rtoorn
o
ZONING PERMIT APPLICATION
0 Please identify improvements on a scaled site plan drawing t shows lot lines, structures
res
and existing conditions.
Site Address:
Owner Name "E � c--6,Q,,, „ --,- -
'-g,': ' ---',-' ,,,,„y,:c Name: i. ,_ ' c.
Address7 ,; L c Y/ tate 1p _____1i:',
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rAiient Signature ., tate:
Email address: ,c 1( t\,, ,
0 Retaining Wall<4 feet *"°'0rivewaay 0 Other:
1
W Patio 0 Sport Court
Type rd ll 1 Fence
iption of work:
wvekand t
- m.• ,,,,... .. �c>.; .,, ,,,,,„:;„h„.,. , :...? � '.MIR - :..: -
rote t Teti sta. (,t j s J 11 :. Staff: _ h(/Vh-��J
n100X i wt/A)vv► 6 r'`1 k-} - o- wo- i s% 22-, -Ge,e+ (�
�XiS��In� CSE v c iS �S ft , novh-coin c 4'1'1.iv- Can y�oE -2 ! Qi9 ,
Revised Plana ryr . .. '.
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Approved: Yes 0 No Date: stiff by contractor/ownor.
dR � 1.1
The owner/a
Approved I Denied E ata: Staff' ilC .___ ._e.__ _ ..�_
Nates: = ••nsible for com�ii�nce with
Ta , iic b9 construction codes.
Revised Plans
Approved: Yes I No Date; _ Staff:
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CALL BEFORE YOU C II Captor State Qrt ail at(661)4 2 for proof against underground utility damage. Call.
48 hours before you intend to dig to receive locates of underground utilities.' •*t e: b R It.
D\Building trispectionsTERMIT APPU TIOht812411\2011 Permit Aplications
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� � The Twin Cities pa velr � �- I I i
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Date: i r I� n E
Marne. L6 9__.._ .
Address: it i <1 L
City; _ __ .__.---
. _ Zip. - p !sass
J Phone �� — a
Noo Yes
i� Phone seplace is.. Tatar st!t o
flares ,,,,,-.3 over E
Stumps/Roots1 I Drain l lem
ormit:it needed Design o parat copy J Sprinkler ids? Proper Line?
move Asphalt(Extra charge if ever,
J Remove Concrete (Extra charge if over .
irif,cie) :fie,,,
=J Apron removal °I car , 2 car r
;- ap Blocks :.......�.(Does not includefoundationwork)
ve Gravel, Dirt or Sod
.- __ Base,after compaction
your existing dace arid burs AIVIA'
gre for proper drair!a .. 1t3 1.1 !
-t u--- Flet Mix Asphalt compacta to i;
.,
0
:addition to drive;'�..�. ., $, .
_
▪ Concrete, see concrete four!
pprox mate Square feet __
l▪ � Yr.Warranty
1 ` ` Yr.Asphalt Protection Plan(see details on back)
options. (Not included unless ch cke and i itialed)'
J Fabric installation S ____. ;i
J Prrr!aloc LPW...:......_
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Customer Initial
iiir -t I!^Fs to be virifeci ,,,: ic ',''s)',isi \
ti c,4ir,tiactorioWrler.
Estimated Cost.
Down i 5. ..
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1 c"- us 'Aral ,IDate
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I have read and agree with the terms and condition on e reverse side.
SIGN AND URN WHITE of
g i The owneriapplicant is
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ii,..„,- °� I . 3 rOsponsible forco,mpiia co th.. __ ..w..
77452ndAvenue. Richfield,�l ", Ply:S x: :, a , -'eic blacktop. m
Lcensed . Bonded . Insurede>