521 Severn Way - Zoning Permits & Plans i4.P"City
______________
of Ia1llI Pennitt /q3 Lit..(1
3830 Pilot Knob Road ! I
Eagan MN 56122 Date Received:se
Phone:(651)6754685
Fax:(651)6754634
Email:gianningacitycifeepaitoorn
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
Site Addrfstsetessyess: �..
lnatiel
Owner Name: -,)r -c `, ' to 1
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Name: ` ,-,-,c, k. - Phone- ,i -- m
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Applicant Signature: .. - Date:.41- t
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.. mail address: �' - g. `' f
0 Retaining Wall<4 feet riveway C}Other:
0 Patio 0 Sport Court t
C, Sidewalk 0 France
Desonptjon of work:
�..: ..- yrs .. .. ... ., ,
Planning cg '' ';, 9 +e.$rpr n$MIK,biurtose ads p.
Approves• I Denied Lute. /( -/ T Staff er .__, (-6. 14(4, i
Notes: /'/et !l
SC-e_ ei i.,/(•� 5lw / 2 Z ` 4/i dek i✓
- Metk let ,
�1 Property lines to be verified !
by contractor/owner.
Revised Plans
Approved: Yes I No Date: Staff:
s �i 1 the ' ht f I
ter � �. ��l� #'t�l`tt � � � � ` ,
Approved f Denied Date: Staff:
Notes:
Revised Plans t
Approved. Yes/No Date: Staff
Comment
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. w ww,spohar°sta o eaj o
\Building Insg ions&P6ftt lT APPLI :ATIGNS 2011\2011 Permit Applications
q 3L/6
The Twin Cities Paver of Choice
09,TIMATE
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Date: 6,-7— if 7,,,„„,..,......, 1 L-.1 . ,,,,,,6,, , \ '
Name:__ ..y -QL j s . kij
Address: SUPER \g
City; �' -c Zip: i i ‘
p
;1 Phone 620 — 6 - .. 2k ___._ ._...__ _._ ... �..__..._
No Yes No Yes
CJ Phone Replace as is ('A LI Water shut off L. O
La Flares L J New Cover
Stumps/Roots Drainage Problem
rmit if needed LI Design on separate copy a Sprinkler heads? Property Line?
:rove Asphalt(Extra charge if over
J Remove Concrete(Extra charge if over ')
Apron removal 1 car 2 car _ 3 car , c.,
,41,--Cap Blocks (Does not include foundation work) ("\' ,
l emove Gravel, Dirt or Sod44Ak
.i 'Base,after compaction s.,,
Li Your existing Mase and ours V(til 115
a—Regrade for proper drainage
4._ _Hot Mix Asphalt compacted to_ ____._.__a__._
Addition to drive ;q. .. ! l
:,t Concrete,see concrete form11.9 )� `.
11,--Approximate Square feet ...> -.. .. ro
.... Yr. Warranty w..,
i
c‘te..\-. )5, „Ai 1:'Itt
...,S.. Yr.Asphalt Protection Plan(see details on back) I
„ -1 , 9tili05
Options: (Not included unless checked and initialed)
i Fabric installation _._._.. . l
Permaloc LFS
4G Wl 11 f `
Customer initial. _a All
�- ' <4*
ZZ` Wi i^ I f
stirrated Cost. r X ``
...........
Down ,,___ ____ „ii,_,_,2_2. , 1,1 ,
Balance
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Customer Approval Date
have read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COPY
7745 2nd Avenue S >Richfield, MN 55423. Ph: .12 8836 « Fax: 512-866-8078 .www.richfieldblacktop.com
Licensed . Bonded * Insured
06-17-2021 Erik Slettedahl
6' max fence height =okay all components of fence shall be installed inside property boundaries.
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