4626 Beacon Hill Rd - Chicken Permit r
4111!!!ill' I, For Office UseCityof Ea allnn Permit#: /6-00 7 6(
3830 Pilot Knob Road
Eagan MN 55122 Fee:$50.00 (collected by City Clerk)
Phone: (651)675-5000
Date Received: 1 #- -I 0
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CHICKEN PERMIT APPLICATION
Please identify coop and run information on a scaled site plan drawing that shows lot lines,
structures and existing conditions.
Site Address L7 t( Z � � j// Pee
Site Address � fore " L.cc.�r
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Name: Ly rt) /" I hoc_A Phone: (ag/27 ' /8 7
Applicant pp Applicant
�► Signature: / ,,!_ Ir _ t&j-
- — Date: — "' i
Email
address: �/
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Owner Name: UC4.
Address: i ��� ,, // ,�
� City/State/Zip: �p /.44
Property.and Property Owner Signature 5-�7722
Owner (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 X
Number of chickens: ci\ / /7-� y7,T�L / J Fu r-C.,2C
Dimension of chicken coop: 5-X10 crtt
Dimensions of chicken run: 6 )(
Coop/Run Description of exterior ,/'
Information materials for the coop and run: ,ulv 9 x V &'515/ i1/4/72.DC< ¢/2�, -/t,Mj a,'vc45'•t.. (%
r/
W. -C- ii.)e e'F' i (IA) .PSG 6(J''^ 0 AJ C.b/ / .1
P /'e, , reoog . 9 TEie.1 dr� Lv r c,C..._3e p4-) c'r 5/4,01 A
Will a fence be added in addition to the coop and run? Yes X No /4-,d/t.i{6- C_Oic —
Description of fence, including
location, size and materials: ° A I 1—/,v,, — ( it / 1
Page 1 of 2
G:\Planning\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.
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rpli ,wt's Printed ame Applidant's Signature
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Approved I enied Review Date: -7/9:-/if g Staff:
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(DA-c-C4ec l ' C)W\ .filo e,1p...ma d - at C' 3 vi.j pct ivlf- or ei0-1-ec `i V eou•e'1 ne,
Revised Plans
Approved: Yes/No Review Date: Staff:
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lipisintintwommemmarg. i 4 tt i i� €t :it ` ;¢j] 4 a}4 t H a ta4 f.i I €ti _ 4 I`i]€1 r
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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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.. CERTIFICATE OF SURVEY
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Elevations shown are , existing R3 ?e
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I hereby certify that this is a correct representation of a survey of:
Lot 5, Block 3, BEACON HILL, Dakota County, Minnesota , according co the plat
thereof on file and of record.
and that I am a duly registered land surveyor under the laws of the State of Minnesota .