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3818 Westury Dr - Zoning Permits & Plans 44110.01, ry For Office Use City of Eaau mitis /say 3830 Pilot Knob Road Eagan MN 56122 `Date Received: Phone:(961)876.6685 Fax:(651)676.8684 • Email:piajnintcityoft.cosF ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines,structures and existing conditions. Site Address: 3?2(1. = - v_ I , Owner Name: C„‘ l�V ;i; Name: V 1• Ad) II4 ?Phons: 1 Z'Cy i , --e6S3' tom= Address: 7 _ �• ✓. 5 CityiStatezp: i4l 3 ` ✓/ _ _ . Applicant Signature: 441.7410141.1,,I,""` Date: 7-141 ~1 0' Email address: ` ` --; .M ' S !!/e I C.C' D Retaining Wall<4 feet 4%;;ayI r TYPE o? ' D Patio 0 Sport Court I WORK - 0 Sidewalk 0 Fence Description of work Q„ c di i'"'her 5 . ,prov No `' '� ..._ Date of Approval: 7-�C -/C' Staff. (.:,/i l� : C `( Notes: ;._'.._ ..(4//d-/IL ;cl-/IL tkox wtv+,k. %K 6;4‘‘) ,2' c1-©f- �✓a / property lines to be verified ,. . . by contractor/owner. i Revised Pians Approved: Yes t No Date of Approval: ,r Staff . ill i '• : � ilarin the M May,etc. I ate, • • Approved I Denied Data of Approval: — Staff: I Notes: ^ r Rm►isad Plans Approved: as I No Date of Approval: Staff 1 anieni *1-11!;•• y CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464-0002 for protection against underground city damage. Call . 48 hours before you intend to dig to receive locates of underground utilities. www,aooheratateonacaiLorq G:\Buikling Inspections\PERMIT APPLICAT1ONS\2011\2011 Permit Applications /SO,5"c5 RICHFIELD — The Twin Cities Paver of Choice — RICHFIELD BLACKTOP BLACKTOP ESTIMATE By: o # 4 I) . 7)3 c l` Date: 6 11)03/F 1 , ,-( - O. Name: t f+ Cf ,c .,. ❑ ngie: list Address: 37i? tli- bulbir- .ii:.-,,P#,•1-,-a i -lir � s P B ❑ F::<y, City: t�.4.1\ 55 !) 3 ` ACCREDITED ty go, Zip: P ❑ -eusress i) Phone j 651- ‘Ti ' 70 ' No• Yes ". —bio Yes U Phone . Replace as is tp Cl Water shut off • • 1 U Flares Cl JiSt New Cover CI ' Stumps/Roots 0 U Drainage Problem q Cl t Permit if needed '' Q De it separate�y. U$ rtnkler heads : Pi m Line? 1I Remove Asphalt(Extra charge ift i er°4") .,.. - • .# '•• U Remove Concrete(Extra charge if over 41 ❑ Apron removal 1 car 2 car 3 car U Cap Blocks (Does not include fours on,tvorlc ,} ISI Re ire Gravel, Dirt or Sod v c4" � 0t • CD If`i Base, after compaction >p o p.+r fr U Your existing base and ours I` in Regrade for proper drainage `q1 l ? Hot Mix Asphalt compacted to al ( t Addition to drive )11 CI Concrete,see concrete form tfi Approximate Square feet " 1 0 13) 5 Yr. Warranty 5 Yr.Asphalt Protection Plan(see details on back) JIf/J . . Options: (Not included unless checked and initialed) . i * itfrid ' ril ❑ Fabric Installation SF $ litilh 1 y,}� U Permaloc LF $ fi Li id(l'1. Customer initial 1r5 4-11)* l S. Estimated Cost If ,! i o k Down ,,"2_:• Balance #35,51 " X rn 4 ' 1 Q.9._,$ ._ lic4kv6 . Customer tti. .1 Date'. , I have read and agree with the terms and conditions on the reverse side. SIGN AND RETURN WHITE COPY 7745 2nd Avenue S•Richfield, MN 55423•Ph:612-866-8836•Fax: 612-866-8078•www.richfieldblacktop,com Licensed • Bonded • Insured