1563 Blackhawk Hills Rd - Zoning Permits & Plans For Office Use
CitIf of k
Permit*:
/ ""93 a/
3830 Pilot Knob Read I
Eagan MN 55122 # Date Received'
Phone:(651)675-5685
Fax:(651)675-5694
Email:planninntElcitvofearian,com
2017 ZONING PERMIT APLICATION
® Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
property Site Address: l ,V3A,1 tE�',�. ......._
Information,
ego
Owner Name:: "{ ..........
Name: A r' .1- 4`L% ._.:Lo. c ck yr phone:
61 ' '1" {
c >
Address: 11 r.t A Mt» City/State/Zip pyib'1 l � fl4iV. _
Contact
Applicant Signature: {j / L� �'�', Date: f/(/11-7
Email address a1IO t�`'i�,.,/d knf7 -6''
O Retaining Wall<4 feet 0 Driveway ether; ' /ILL!
�
'Patio 0 Sport Court t
Type of Work 0 Sidewalk 0 Fence
Description of work:
Planning Setbacks,hard surface covera.e, shoreland zoning zot +':. s,etc.
r, �Approve. Denied Date: • I Staff: ,
a�.
Revised Plans
Approved: Yes I No Date: Staff:
Engineering Grading,drainage, utility easements,wetlands,erosion control,improvements in the Right-of-Way,etc.
Approved I Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes I No ' Date: Staff:
Comments
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecalLerq
G:\Building InspectionsiPERMITAPPLICATIONS'
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