4721 Pebble Beach Way - Zoning Permits & Plans For Office Lisa
fti
W-il' iii
66t Mesad
_,-4_'.....--__.,,..:-*"---,,,,,,,___‘,.'.:,',_' ,,,--.'
rt 66122 i Date f ved• .____....._
Phone:(661)6164666
Fax:(651)6? 6
di: .isi
citvefeatan.corri
IT APPLICATION
El Pleaseidentify improvementsen a scaled site plan drawing that shows tot lines, structures
and existing conditions.
Prittcidraa ;
tfor n i
OwnOwner 11
� s
d ens; _ 7 1 ,. Ci lStatei, i �` , e ' �r:
Contact _._.___....._ _-__-.__ �.�
1,1 II fiat rtalira: fate: ,
:
Jma1 address. . �.. y.�
O'retaining Wet c4
feet ,iiril,,veway
0 other:
i O Patio 0 Sport Court
WorkO id ali€ lib\s in Fe••.a
tescripticrt of work:
1 �----planning
nni ngacks hard, 4 � raga}shortstertd zoning,btuff sic t -
f.
ve 11;i Date: • I ... Staff_; /I !�.
. IM1 i rK WI Ash r'I�1 -•0 ' pi)c*.y 0 R,S pre S I'R'I�CC�•
�l or�C w� h gin + vfil� eas¢mtni SAbv/d llly`-a./7�Y
T`ReviSad P laps
gApproved, I NoDate Staff:
Engineering ^ Grading,drams .. :ease ratarrt ,vti carttroi,.improvementsfrt ti11t1f�Way,at___-_-_,:,.
Approved I Denied Date: Staff:
Notes: by contractor/0 n r.
Revised to
Approved: Yes I a nate: Staff
CALL OU D G. Catl �r tate t?rre Call at(651) X602 tar prc tedtmn again t underground utility dam ge- Cat
48 hours before you intend to dig to receivelocates of underground utilities. Lod mete teal t. rg
:,Building inspac onsIPER: TAP LICATIONS%2011\201I Permit Applications
, Svc .IFI SD
' C 1 IC S
oma`\�r�� ..�,� ,.. .,_..:.
I . , 4 .2yo [ X3`1
Date: r,_ 0 ,_ I °it- \ C3
Name:___ 4ciii 4 4 #t 7, -s$,,,..,y,Of
.7,,:,1,j Pe6'61' i - .' I ' (V
Q
City: 4 ��jss
:
IIN m.
No Yes , No Yes
Phone Replaceas -- 1 Vater shut off
Flares New Cover r
turnps/Pocts ® Drainage Problem .
rn it if needed
Design on separate copy L Sprinkler heads, rode Lae
W` move Asphalt(Extra charge if over 4"
Remove oncrete( xtra charge if over ,
Apron removal 1 carve. car_ car a
Cap Blocks...__(Does not include foundation work)
move Gravel, Dirt or Sod
.:k ase, after compaction
Li Your existing base and ours
rade for proper drainage
~_,� Hot Mix s halt ccmpactedto
Property lines to be verified
edition to drive_
�. by cc;niractorlowr�Er.
O Concrete,see concrete form
Approximate Square feet
_Yr,Yr.Warranty I
r Yr.Asphalt Protection Plan(see details on back) 1
Options: (Not included unless checked and initialed)
fate instaaation ��
Li Permalcc LF \
Customer tr it3al
•,A � ��
giro
estimated est; i?
D ... ..+,—
own f �i4- i
Balance 1.v. ..� .� ...,....
,,,-.
Custurrter, r,.,-° Cal ..
i have read and agree with the terms and cornditiorns on the reverse side, '�
SIGN AND RETURN WHITE COPY
7745 2nd Avenue S •Richfield, MN 55423.Ph:612 866-8336•Fax: 612466-8878•v v rrchfieid lackfop,c r
Licensed . Bonded 4 Insured