4712 Penkwe Cir - Zoning Permits & Plans For Office_._
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City of Eata.il *71 c°
3830 Pilot Knob Road I
Eagan M155122 I °ace eceivecc4: E,
Phone.( 51)6754685
Fax:(651)675*5694
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ZONING PERMIT APPLICATION
Please identify improvements on sealed site plan drawingthat shows lot lines, structures
and existing conditions.
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,13 - S City/Stat i s A a "'-)
Address ,
Contact �_ .._ �_.�.: ____ ,...� �wA
Applicant nater : date
Erriail address:
®Retaining lUall. feet `veva
other
1 :.7 Patio 0 art Court
TyPe of VII** ; 9 Sidewalk p„,:\ 4 ,,,,,,Felockz t,,,,„ .4 .,,, ___
I Description of work.
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A tyle Date staff
, Nies:
1 Revised Plans
Approved " I No Date: Staff
1.tt--Engirt.�rir 1 r. ` ,,..d i e -'.blit a serrae ,vet ands'ero: " tttfel,` rove itt- Right saf Way.etc.
h Ap roved#Dallied Date» Staff
> Notes:
Revised Plans
ArveYesi l Staff:
L BEFO'gE YOU010. Cali Gopher State One Call at(651)45 002 for protection against underground utility damage Call
48 hours before you intend to dig toreceive locates of underground utilities, , rteortScalt.c+r
G;\Sending fns ticattslP RM€iT APPLICATIONS\209142819 Permit A ati tions
14141 0
.o s r E - The Twin Cities Paver of Choice - RICHFIELD-,
?!1411::At BLACKTOP,
ESTIMATE By: X- --
Date: ^ ' L a�
Name: 4 U111-0 � . . ,
D
� " Zip: . 3
J Phone 67 Ci — c' ,
No Yes No Yes
:J 1111 „ Replace as is C Water shut
Li Flares U f New Cover a" C)
Stumpslts LI Drainage Problem la" GI
permit if needed : Design on separate copy U Sprinkler hea Property Line?
4—,Remove Asphalt(Extra charge if over
Remove Concrete(Extra charge if over 41-
Liil Apron removal `l car 2 car 3 car Ai
LLieCap Blocks (Does not include foundation work)
e o ve Gravel,Dirt or Zip '
Sale, after compaction (171 A
] Your existing base and ours
degrade for proper drainage 4 ._14
3 Hot Mix Asphalt compacted to__,
" Addition to drive_, 19 ---------4--ti
LI Concrete, see concrete form _� -
"" - roximate Square feet * at
--- ... Yr,Warranty 17
N.. ,. .__Yr,Asphalt Protection Plan(see details on back)
I < 61
Options: (Not included unless checked and initiated) 1 rni
l
Ci Fabric installation SF 14 41
customer Initial .. a, - WA' "� F 4w°f
Estimated Cost: N
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I
Bal4 ..
customer prO *ate
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1 nave read and agree with the terms and conditions en the reverse side.
5f**-CC"it ,
SIGN AND RETURN WHITE COPY
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7745 2nd Avenue S.Richfield,eld,MN 55423.Ph:612-866-8836. Fax: 2- .www:richfie dblacktop.com
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