2018 Flint Lane - Chicken Permit 1,, J i
For Office Use
441,!1/k City of Ea a�
�, LPemlft#: 1 1 � I
3830 Pilot Knob Road I ��
Eagan MN 55122 l Fee:$50.00 (collected by City Clerk)
Phone:(651)675-5000 I I
I I
Date Received: St) E 1(
L
CHICKEN PERMIT APPLICATION
❑ Please identify coop and run information on a scaled site plan drawing that shows lot lines,
structures and existing conditions.
Sit Address ' Site Address ( "\� �1 i � � 'aZ-
for chickens: l� l
Name: --r1�,� Pk-Do o' 3 4. W r Phone:3tIiS lD V
/applicant`y Applicant 1 (, �d
Signature: - CCS" Date: 0,1,(2,/ (0 ' 16
Email (�
address: Q.,GsC_L�(')( 1 CO-An
Owner Name: (�/A-eU. c 0(;)
Address: -Z(_)\� \C; i...s City/State/Zip: 5 122..
Property and Property Owner Signature ,,((
Owner (if different than applicant): Gu-.�'( `U ' Date: 5"Ic(" to
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: 3
Dimension of chicken coop: 7) t l c 1di
Dimensions of chicken run: 5 t X S I
Description of exterior
op/Run materials for the coop and run: Wc00 U.J
4r,e ( SvoQe ec .1 C-"1
)
Information
Will a fence be added in addition to the coop and run? Yes ?C ? No
Description of fence, including
location,size and materials: G t_ c.,
Page 1 of 2
G:\P la n ni ng\CHICKENS
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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.
Xt , o„ curl ( 6 X od
Applicant s Printed Name Applicant's Signature
Planning ',
rov enied Review Date: 5:1.2 /� Staff: C,�•� Sk//tort 4(
Notes: Afvvi 6<.. /0
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xas 4e pert.)P ka it SC4IIK17 kcw S ►Vc. 't•c ke/ StatJ.e. t €141, kcty .
Revised Plans
Approved: Yes/No Review Date: Staff:
Animal Contrail,
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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