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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