1361 Interlachen Dr - Chicken Permit For Office Use,*
City of Ea o Permit#: 11/6 ((
3830 Pilot Knob Road bn
Eagan MN 55122 Fee:$50.00 (collected by City Clerk)f 41„2
Phone:(651)675-5000 �i
L
Date Received: 3
CHICKEN PERMIT APPLICATION
o Please identify coop and run information on a scaled site plan drawing that shows lot lines,
structures and existing conditions.
Site Address �-,
'� for chickens: J-.v1 r[0, cil e n br EGt�ti.u�. N ss la3
Name: v I J r Phone: le S l 9 5`'f- 181S
ApplicantApplicant COI v�-ci 6�3- "1 a
Signature: r9c Date:
ti l
Email
address: d cS r >L @ yeJ o. C o w1
Owner Name: h G.v t d
Address: [3(.t . rtc,c"le- City/State/Zip: E�CgK N S51�3
Proms and Property Owner Signature U
" (if different than applicant): Date:
Information
The above referenced property's Homeowners'Association rules,if any,do not prohibit the keeping of chickens
on the property: (please initial)
Yes No Not Applicable
Number of chickens: 5
r
Dimension of chicken coop: S X �
Dimensions of chicken run: Xt
Description of exterior
Coop/Run materials for the coop and run: f`1 L Se ,c A,,it ytr‘w Of
Will a fence be added in addition to the coop and run? Yes No -Pr.
Description
-
Description of fence, including
location,size and materials:
Page 1 of 2
G:\Planning\CHICKENS
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. I
acknowledge that structures will be constructed in accordance with the approved plans.
D
1161(
x -'I r v m m x s'` ....
Applicant's Printed Name(�j Applicant's Signature
a,
p�rove�%Denied Review Date: b � 1 Staff:1/41� t .,.. =
Notes: Property lines to be verified d
by contractor/owner.
Revised Plans
Approved: Yes/No Review Date: Staff:
nim ll o rt
.. .rr
Approved/Denied Inspection Date: Staff:
Notes:
After a permit application is approved and the chicken coop and run are constructed, an Animal Control Officer will inspect
the space for compliance. Once the structures are approved, your chicken permit may be granted.
Page 2 of 2
G:\Planning\CHICKENS
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August 23, 2017 1:817
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Lot Dimensions Water I , ' ,' I ti i
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Tax Parcels Multi-owner Parcel
Parcels Water in Tax Parcel
Tax Parcel Right of Way Easement
Dedicated Right of Way Pending New