1827 Kathryn Cir - Zoning Permits & Plans ---------------sr4 3Use
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City of Eatall
411.
t!! 1/ 7 7 Permit : fLj(3 i
3830 Pilot Knob Road
Eagan MN 58122 Date Reid:
Phone:(851)6754685
Fax:(651)6754694
Email:plerinirtafecitvefeadan,cgiu
ZONING PERMIT APPLICATION
0 Please identify improvements on scaled site plan drawing that shows lot lines,structures
and existing conditions.
A` Site Address: /43)s--'1 I< , r
Owner Name: .... .. g.,., ...0
• Name: iii, , _.�" : d1. r).. Phone: _ ;:•ie _ __
._ Address: s 1. f r '-�.,_ ity/Statel. ip: } \t ; �' .i _
Contact .. -�..
aiouir ..
Applicant Signature: tate:
i
Email address: 1 l ' ,° c%( ._ '(.1
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®Retaining Waif<4 feet -ie r veway 0 Other:
ier_
0 Patio Cpl Spm Court
0 Sidewalk 0 Fence g
t
Description of work: i
Pia 2 i SetbeCkli,hatts01shunt zoning.,bluff— •,,=tback,%etc
,.... - :....... ....: ... ..' ,tai...... .s '., .
Approved! led Date: r Staff: "; �_ / r_. r
re
, }�� .rye //y} (r a // 0,1/
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Revised Plans
Approved: Yes t No Date: Staff:
End rttg Graintliiiiitafi0 d0144Waitiente.WeSande,eros ,-, kit Right-of-Way,etc.
+cad
i Approved!Denied Date; taf
l'4 e CA' V9..*r.i iOt C ' �y 'g r t c,e '''� Prc r, f!Ines t0 be verified
RevisedPlans
Approved: Yea t No Data:- ,,. Staff: _.i.
CALL BEFORE YOU DIG Call Gopher State One Calf at(651)4540002 for protection against underground utility damage, Call
48 hours before you intend to dig to receive locates of underground utilities. ootte e n c lLern
G:\Building InspectionsTERMIT APPLICA('IONSi201112O11 Permit Applications
�� Th r i r;ii, D 4, r.ii : 11-(3 ' -f
ESTIMATE By: Met l'iK #6 VQ 7 q _
__,....„'
Date* �.
Name: chi F,
Address: I7 i<er.-/f--4rvii L *T [
City: q � Zip: �
BUSINESS ,,i
L Phone
na - :-",,,,m, -- _
No YesNo Yes
Replace as is Water shut off L
Flares NewCover `.
'
Stumps/Roots Li Drainage Problem
., err it if needed a .. ..
p alt tr charge if over } D. ear €n separate copy LI pd Eder heads? Prc ty Line?
Li Remove Concrete(Extra charge if over 4')
L Apron removal 1 car 2 car 3 car t
a Blocks
��oes not include foundation work) i
.
e,ncve Gravel, Dirt or Sod
`' ase,after compaction #
Your existing base and ours
,iteItegrade for proper drainage c c41, it
f
ct Mix Asphalt compacted to
Audition to dries
Concrete,see concrete form
Approximate Square feet (.,1 y
_, Yr.Warranty
`_.Yr.Asphalt Protection Plan(see details on back)
Options:(Not included unless checked and initialed) u
' *dric instllat' r
P r.rialo LF_ � 1,,'"` °: ° ,( �l4
.1'''""------
Customer Initial , tii
r
, ' ' ;
Estimated Cost:
Down .
5
Balance I
x L i_ - i 7
us r ra I P1 7pt d ,h;9 to ha v"->of,'=`d
€have read and agree with t e terms and cont€tions on the reverse side. GC ,Itv;,'>
SIGN AND RETURN WHITE COPY
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