1798 Bluestone Dr E - Zoning Permits & Plans for Office Use
cirri :city of Eatatt P it#
1341
* ,3830 Pilot Knob Road
t)ste Received:
Phone:(651)6754885
Fax:(651)6754694
Ercall:;term! '..'$_=fin. Oro
ZONING PERMIT APPLICATION
Please Identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
S E ./ ' "p Address: �
` r
Name: \ l • t, :, Phone; � --"' °' ' �-,°
Address: g `i_ r� Cityi tateet, ip: t .) cc ,
Contact
Applicant Signature. Date.
I ;
Email addr : : '>-i < �t i (`
f
0 Retaining Wall<4 feet e Driveway 0 meter:
0 Patio 0 Sport Court
T)11°ofWork waIk 0 ence
Description of work:
planritrig >4 actrte, F urf ',. ,n€,,..,3 . 'a e .t f a:,,}ita 6., 1,ete aI
�'' �J
A sat. w,. _ Date: 4,xr U l _ staff= .�' � L ..e. Com+. t
Notes: Y cke- s,G►ry1,,1/4._
r k
Property Fines to be verified I
by contractor/owrter.
Revised Plans ,
Approved' Yes/No Date: Staff:
��* ' x °'€ farosier OA a 'l the Ritirit-ot.W yetc
Approved I Denied Date: Staff:, i
Notes: ,r
RevisedPlane
__
Approved: Yes I No Date: Staff.
me
i
CALL BEFORE YOU DIG, Call Gopher State One Call at(651)4644002 for protection against underground utility damage Call
48 hours before you intendto dig to receive locates of underground utilities. .nophersts€epneca la
G:Oulteing IrsspectianstPE€ MIT APPLICATIONS1201112011 Permit Applications
44 i it 34e,
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The Twin Cities Paver of Cho
i - RICI
ESTIMATE 8 � . ° tiof .i*i' __,
J (3/ J '
lip
Name: , �' A
• 6 SE e�
Address: L fj BBB
City: q ✓ Zip:55 12 3 p Iees
1
,71 Phone I �_,
li Phone - - -
No yes No Yes,
Replace as is 0,-.''' C.1- Qatar shut o
I Flares C .New Cover C
t rrrpsdl acts 1' Drainage Problem -'
errnit if needed
Ve Remove Asphalt(Extra charge ifover 4" CI[ design on� ;. .to
print heads?
LI Remove Concrete(Extra charge if over 41
..on removal I car 2 car 3 car
ap Blocks. ..(Dossnot include foundation work) i\
iii Remove Gravel,Dirt or Sod
it
..Base,after compaction
C1 Your existing base and ours17
rade for proper drainage
Hot Mix Asphalt compacted to
` Addition to drive r
Concrete, . concrete form
proximate Square feet
Yr.Warranty
Yr.Asphalt Protection Plan(see details on
Options: (Not included unless checked and initialed)
LiFabric Installation F ..,.
Pew _H4 -t--14 id,1 1 4.,
t
/- t A '14? 3•- ,.ti-p1:- ,
Estimated Cost:
9,
DownI clit,,,,O. ) tT,,c, .,,,,,,,„„„1,,,„,..
Balance
is
cu cirAppr : Date
I nava read and agree with the terms and conditions on the reverse side.
SIGN AND RETURN WHITE COQ Property Line?
C1 rnpd LI Subpd
7745 2nd Avenue S.Richfield,MN 55423.Ph;612-8664: •Fax:612-886-8078*wiliw.dchfield a top.com
Licensed'* Bonded • insured