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4158 Braddock Tr - Zoning Permits & Plans For Office Use City .......... Permit : /�J OV 3830 Pilot Raab Road agan MN 5612% Cate Received: Phone:(661)6754686 Fax:'(651)675-$684 Email: fl e nnin. o t ofei,tan»cora ZONING PERMIT APPLICATION Please identify improvements on a scaled site plan drawing that shows lot lines, structures.- and existing conditions,. I ,, property i ,tars : , information ion Owner Name: u r Name= ' 'Ph = � �� r City/State/Zip: a ., i • 3 Address: Atte . Contact _.._ s Applicant Signature:. Date: - 11 1 ,' ) ,, • ,. Email address: �, cc..t. g RetainingWall feet `°i�ivew 0 Other: 1 0 Patio 0 Sport Court Type of Work f ©sidewalk .,10 mik . ., ..z., .C ,,:'40- a„. , jDescrlPtionofwork: , p., ..„ .. , . , "' •-• " ____.....__. . . , ._ „.......„„ ., .. . Planning. Setbacks hareaudeideveirerage,s or a aorti 4)..,:de& o r rredatte€ Date: 11, . . Staff: OM! _. /.i Ihi../ a: e , n#1t, W I -% al- nO d- 1,01.7 1 S AP-P4 . 0 Kcui as 5 ubwi/lied Revised Plans Approved. Yes I Ne Date: Staff. Engineering Irading, w 'linty eases wetlands,erosion antro 1,improvements in the Right-of-Way,etc. Approved I Denied Date: Staf Notes: � !I �to Prrr ' .r, bo rffiad by coninactor/uwnor. Revised Plans ». Approved: Yes d No Date: Staff: — ' Comments r T,.. CALL BEFORE YOU Dia. Call Gopher State One Call at(851)4544002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. csetwarimhe tateoriecelLord C:tBuilding Inspectlons,P R IT PPLICAT ONS\2011t2O1I Permit Applications '".., — t IIC I wilt ixiuu * uav i vi Ivft6J tr ', cKTOP :i V.ai,*tffi Col•. ESTIMATE ay: : - Q (.Cii- Po 8C/ (zs / Date: , _ . . Name ,r .: . x Vii+ . a t„.2USINESS i: P LI Phone451- _;'' . , • Phone :w — 3 5' No Yes I No Yes Dela :as is ® la— Water shut off Flares UJv U New Cover Stumps/Roots LI Le Drainage Problem Br it if needed U Design on separate copy (Sprinkler heads? Property Line? a—Remove Asphalt(Extra charge if over • Remove Concrete(Extra charge if over ' CI Apron removal 1 car 2 car 3 car 1 ? ap Blocks. ,(Does not include foundation work) 21 Rem ove Gravel,Dirt or Sod 11111111 & Base,after compaction E Your existing base and ours egrade for proper drainage v Hot Mix Asphalt compacted c ' 1 Addition to driven EJ Concrete,see concrete form i Iiii ,) lb _pproximate Square feet 7 3 5 Yr:Warranty iqg 4— .Yr.Asphalt Protection Plan(see details on back) AA -R-(frig) Options: (Not included unless checked and initialed) • Fabric Installation SF, $_______ 11 �E Penn Doc LF _ F i 8 4fi IP O utort't Initial ... Estimated Cost: ___ 0 Down Calan..- . - --) 6:1-irk, kap L « r4val ...- Date I nave read and agree with the terms and conditions on the reverse side. SIGN AND RETURN WHITE Property lines to be verified 1 by contractor/owner. 7745 2nd Avenue S-Richfield,MN X23:Ph: 612-856-8836•Fax: 61 -www,iichfieldblacktopoom Licensed * Bonded • Insured