3529 Birchpond Rd - Zoning Permits & Plans For Office Use
City o Permit#: `
3830 Pilot Knob Road • F Date Received: j�
Eagan MN 55122 � L ,ry�
Phone:(651)675-5685
Fax:(651)675-5694 JUN 0 4 Z018
Email:planningt citvofeagan.com
ZONING PERMIT APPLICATION
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PI identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
c : Site Address: c� t �� a
pOn Ra
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E Owner Name:
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Q1S Name: G11A Phone: trjt-��(�
�1 q4, fr Address: 1105 H V l.P( 5 City/State/Zip: (5 Paw ,N �l I
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, Applicant Signature: )-.. , )`P Date: i,)a I l
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Email address: (� Al aC
❑ Retaining Wall<4 feet ❑ Driveway ❑Other:
;` 0 Patio
0 port Court
Typ ° er 0 Sidewalk Fence
„� Description of work: 6 3 � � �� Nun() NMf"Li1 1C
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Approve 4 ~�enied Date: �`c Staff: .' 1,
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Property lines to be verified
Yby contractor/owner.
Revised Plans
Approved: Yes/No Date: Staff:
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Approved/Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes/No Date: Staff:
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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.gopherstateonecall.org
G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications
Premier Fence, Inc. I/161(aq 0
1105 Homer Street • St. Paul,MN 55116
Office 651-698-4007 • Fax 651-698-1535
www.premierfence.corn
Estimate Date Order Date
Job Site Address •:?)(_D
- <--- 1 i‘fIr's. A bri CI gd Rep Phone Good For Days
City V—ogri r\ Zil cf.----- County .t- .1 K . Cross St. Page/Grid
H Phone W Phone Marking Notes
C Phone Fax Marked By Ticket#
Email
Scheduling Request Aprox.Lead Time
E Permit Responsibility: D Premier tii Customer LI N/A E Obstructions
0 Property Line ID(Add'I Cost) III Removal/Haul/Footings 0 Accessibility
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