1459 Blackhawk lake Dr - Zoning Permits & Plans For Office Use
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3830 Pilot Knob Road
Eagan 1 sort ved..._..._,,._ ; `—
hone:( t)826-8885
Fax:( 1)8876-6894
Email:plan plantitricifeicityofeagan.rom
7ONING PERMIT APPLICATION
r-io Please identify improvementsa scaled site plan drawing that shows lot linos, structures
and existing conditions
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Owner Name:
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Contact
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la r it Setbacks,hard surface coverage shoreland zones bluff fzone/setbacks,,etc
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Revised Plans
Approved 'es I No C te: staff_
EngineeringGrading,dr:�aina ,sniff+easements,.wetlands,erosion008!rfl,i oven€ tsin the r f may etc.
Approved I Denied Date: _ to f:
Notes:
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Revised Plans
Approved Yes I No Data, Yaff _
C, ...-6-E-0-6—RE DG. Call o cher State One Call at( 61)454-0002for protection against underground utility damage. Call
45 hours before you intend to dig to receive locates of underground utilities, i ph tateanec li,cr
G:\Building€nsp dans\PERMITAP LlCATiONSt22O11t2011 PermitAppitca€lanes
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Name:
ity: dip:
Phone
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_� ..W. Replace as is Water shut j2.1
Flares 9 New Cover
Stampsl is U Problem Drainage «
Permit if nd .
U Rei •p ratecopy sprinkler r heads.? Property twine
am va.Asphalt charge if over 4")
• Remove Concrete(Extra charge if over 4")
i...1Apron removal I car 2 carte___ 3 car
map Bloom .. c s not include foundation work)
• Remove Gravel,Dirt or Sod
Base,after fPoriipactiori �' f
• Your existing base and ours i
redo for proper drainage , -, ./7*' , 9,,y \
.Hot Mix Asphalt compacted toi 1
U Addition to drive _
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ertnc,irete, see concrete tear
ppro lma Square Feet
u,: . Yr. Warranty
row'"-�- -Yr Asphalt Protection Plan(see details on back)
Options: (Not incl bed unless end inhaled `
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Customer initial
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Estimated Cost:
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Balance
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C st rwr.Approval u to
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have read and agree with the terms ana odddil101ds on the reverse side.
SIGN AND RETURN WHITE COPY
7745 2nd Avenue S.Richfield, MN 55423-Ph:612-866-8836-Fax:612 4,1 '4O78•v r,riahfi lddlacktop.corn
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