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3912 Cedar Grove Pkwy Metropolitan Council Working for the Region, Planning for the Future Environmental Services February 25, 2000 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Central Beauty School to be located at 3912 Beau D' Drive within the City of Eagan. This project should be charged 1 SAC Unit, as determined below. SAC Units Charges: Cutting Stations 6 stations @ 4 stations/SAC Unit 1.50 Credits: Retail 1248 sq. ft. @ 3000 sq. ft./SAC Unit 0.42 Net Charge: 1.08 or I If you have any questions, call me at 602-1113. Sincerely, Jodi L. Edwards Staff Specialist Municipal Services Section JLE: (95) 000225S8 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Terri Lundberg, Central Beauty School 230 East Fifth Street St. Paul, Minnesota 55101-1626 (651) 602-1005 Fax 602-1183 TDD/TTY 229-3760 An squ i Oppo naty El winyer 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) - °l 33~ja CITY OF EAGAN - 681-4675 I p I Submit following to obtain necessary permit Foundation Only New Construction Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) code analysis (1) " civil plans (2 sets) project specs (1 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) " energy calculations (1) not always " Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always " SAC determination letter from MCNJS - SAC determination letter from MCNVS - SAC determination letter from MCNUS - call 602-1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) project specs (1) energy calculations (1) Electnc Power & Lighting Form 1 Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: Jest )49i WORKTYr=-: _ NEW REMODEL DESCRIPTION OF WORK: Rebolu tRo I~cL(Z LA-1. ULA CONSTRUCTION COST: ya OOD TENANT NAME: SITE ADDRESS: oL RILL 38 °D - Q UE D 9- nn SUITE LOT BLOCK SUBD. 13 `P 0. t,, lJ f P.I.D. # Name: V14za1°r_ Jd ,T -oh Y-) Phone (0 0 [ - OS (0 PROPERTY Last First OWNER Street Address: City State: Zip: Company: t k- L r Cu-&yns Lnc Phone 1541-9811-7 CONTRACTOR Street Address: 16155 Lreeaknee RD ~ 316 License # av )68q a City I r l1Yly1>;4n(ZQ- State: -/M (q Zip: 255305 ARCHITECT/ ENGINEER Company: ]A-Jw-h 4 P _RQ `7y Phone 777-?OS 4-Y Name: Il Avr gAac ri, Registration Street Address: 3170 Ld& (f/-fi i Amp r• r.4yl E1 rnd State: M N zip: 35 p 12 n ewer & water): Sew"r tec a>ef<(pt1 i 'RSta ~4We~ I tRYeb t Ktf y application and state that the information is correct an o licable State of M~ptsota $ta sa'nd l ari r meYf%9- Signature of Applicant:: , i /t tBUIL L 1) 141Gilf'r`/Jty ) i.i NJ DEPT. OFFICE USE ONLY BUILDING PERMIT TYPE ' ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous i' 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New & 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code N.37 # of Stories sq. ft. SAC Code 3 v Length sq, ft. Census Bldg. Depth Footprint sq. ft. Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $D, ODr7 Surcharge ac. 00 ' Plan Review 3 117,0 MCMS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size 3~0.;) cs_bA-2 "~o C-P Gg-~ ~ SEVERSON9 SHELDON9 3--7G p (o ( pAZ-~-J ~ &RRY S. SEVERSON DOUGHERTY & MOLENDA, P.A. 3 I 0 ANNETTE M. MARGARIT MICHAEL G. DOUGHERTY' STEPHEN A. LING MICHAEL E. MOLENDA; 69- 3 GARY L. HUUSKO LOREN M. SOLFEST"i KRISTINE K. NOGOSEK SHARON K. HILLS A PROFESSIONAL ASSOCIATION CHRISTINE J. CASSELLIUS$ DAVID L. KNUTSON ATTORNEYS AT LAW MICHAEL D. KLEMM$ ROBERT B. BAUER• EMILY FOX WILLIAMS CHRISTOPHER A. GROVE SUITE 600 BRANDON D. DERRY TERRENCE A. NIHRRM' 7300 WEST 147TH STREET APPLE VALLEY, MINNESOTA 55124-7580 OF COUNSEL (952) 432-3136 JAMES F. SHELDON TELEFAX NUMBER (952) 432-3780 www.seversonsheldon.com June 9, 2004 E-MAIL: 6au=@sevmonshe1don.wm Dakota Co ty Recorder 1590 W t Highway 55 Hasti gs, MN 55033 Easement and Assessment Agreement Lot 1, Block 1, Stryker Addition Our File No. 206-21773 Dear Sir or Ms.: Enclosed for recording regarding the above-referenced matter, please find an original Easement and Assessment Agreement. Also enclosed is our firm's check in the amount of $30.00 for the recording fee. Once the Agreement has been recorded, please return the original to the undersigned. Thank you for your assistance in this matter. Very truly yours, Robert B. Bauer RBB/kmw Eosures ~c: Marilyn Wucherpfennig, Planning Aide Karen E. Marty, Esq. INDIVIDUAL ATTORNEYS ALSO LICENSED IN IOWA AND WISCONSIN jQUALIFIED NEUTRAL. UNDER RULE 114 OF THE MINNESOTA GENERAL RULES OF PRACrICE 'CERTIFIED REAL PROPERTY LAW SPECIALIST, MSBA - r EASEMENT AND ASSESSMENT AGREEMENT This Easement and Assessment Agreement ("Agreement") is made this 1" day of June, 2004, by and between the CITY OF EAGAN, a Minnesota municipal corporation (hereinafter "City") and CEDARVALE BUSINESS CENTER, a Minnesota general partnership (hereinafter "Cedar-vale Partnership"). (The City and Cedarvale Partnership are collectively referred to as the "Parties"). WHEREAS, Cedarvale Partnership is the fee owner of certain property located at 3902 - 3938 Cedar Grove Parkway and legally described as Lot 1, Block 1, Stryker Addition (the "Property"); and WHEREAS, in connection with the City's Cedar Grove redevelopment activities, the City is proposing to construct future trailway improvements that will impact the Property (the "Future Project"); and WHEREAS, Cedarvale Partnership recognizes the benefit associated with the Future Project and is willing to grant the City the necessary construction easements and to provide a financial contribution towards the future project all upon the terms and conditions contained herein. NOW, THEREFORE, in consideration of the mutual covenants and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties agree as follows: 1. CONSTRUCTION OF FUTURE PROJECT. The Parties acknowledge that the Future Project has not been authorized by the City Council of the City. If the Future Project is approved, it will include the following items: A. Construction of Trail. A trail shall be constructed adjacent to the Property within the existing public right-of-way. B. Retaining Walls. The construction of the trail may require the removal of trees and construction of a retaining wall. If the slope of the Property adjacent to the right-of-way will exceed a three to one ratio, then a retaining wall shall be constructed. The City will use its best efforts to keep the sign described in paragraph 5 below in its proposed location or condition. C. Parking Lot Construction. The construction of the proposed trail will require grading and reconstruction of a portion of the Property's parking lots in accordance with the plans prepared by SEH and dated January 5, 2004, which are currently on file with the City. In the event such construction occurs, the City agrees it will undertake to minimize disruption of the business activities that occur on the Property and further covenants that at least one driveway access for the property will remain open during construction. Cedarvale Partnership will be given a copy of the plans and specifications for the parking lot construction, and an opportunity to comment on them prior to the initiation of work. The grading, reconstruction, and resurfacing will include the following: (1) Grading, reconstruction, and resurfacing of the property marked with slashed lines on Exhibit A. (2) Doing this work so that it blends with the unchanged portions of the Property. (3) Replacing any curbs that are damaged or destroyed during construction. (4) To the maximum extent possible, leaving the Property with a gently sloping grade from the buildings (or ungraded areas) to Cedarvale Parkway. (5) Striping of the resurfaced areas to match the existing parking. (6) The trail, any retaining wall(s), and other changes in the right-of-way adjacent to the Property shall be finished in a manner consistent with the new Cedar Grove theme. 2 i 2. GRANT OF EASEMENT/WAIVER OF COMPENSATION. Cedarvale Partnership acknowledges that the construction of the trail and driveway and parking lot modifications under the Future Project require the grant of temporary construction easements to the City, its agents and contractors. Cedarvale Partnership shall, at no cost to the City, grant such temporary construction easements as may reasonably be required by the City to undertake the construction activity associated with the Future Project. The City will pay for the costs to prepare and record such easements. Cedarvale Partnership acknowledges that trees will be removed in connection with the Future Project, and Cedarvale Partnership waives any and all damages arising out of or relating to the removal of trees or other activities performed as described in to this Agreement. This grant and waiver is contingent upon the construction of the Future Project. 3. ASSESSMENT. Cedarvale Partnership recognizes the benefit to the Property as a result of the Future Project. Cedarvale Partnership, for itself, its successors and assigns, hereby accepts an assessment against the Property for the Future Project in an amount not to exceed $17,500.00. The assessment shall be levied against the Property in the year following completion of the Future Project. The assessment shall be payable over a period of 10 years at a rate of 7% per annum. 4. WAIVER OF OBJECTION. Cedarvale Partnership hereby waives its right to object or appeal the assessment described in paragraph 3 above, pursuant to MINN. STAT. §429.081, and further waives notice of hearing on this Agreement. 5. HOLD HARMLESS/INDEMNITY. Cedarvale Partnership acknowledges that it currently has a monument sign, and that it has requested the City to grant a conditional use permit to allow for the construction of a pylon sign. The construction of such sign will be located within the present public drainage and utility easement adjacent to the right-of-way for Cedar Grove Parkway. Cedarvale Partnership agrees to hold harmless and indemnify the City from any claims, losses, judgments, damages or costs incurred, including attorneys' fees, resulting from the construction of the pylon sign on the Property within the public drainage and utility easement. This Agreement is subject to the City granting the conditional use permit, variance, and vacation of right-of-way to allow the sign as presented in City Planning Cases 19-CU-16-10-13 and 19-VA-18-10-13. The City further agrees to refund the second sign application fee paid by Cedarvale Partnership on or about March 19, 2004. 6. GOVERNING LAw. This, Agreement shall be governed by and interpreted under the laws of the State of Minnesota. 3 1 7. EXPIRATION. In the event the City has not undertaken construction of the Future Project within five years from the date of this Agreement, this Agreement (other than the indemnity obligation under paragraph 5) shall be null and void and of no further effect. CITY OF EAGAN, a Minnesota municipal corporation By: v Pat Geaga _ r Its: Mayor By: -Mop " C0L-~ Maria Petersen Its: Clerk STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) -Tk4t The foregoing was acknowledged before me this /S l- day of May, 2004, by Pat Geagan and Maria Petersen, the Mayor and Clerk of the City of Eagan, a Minnesota municipal corporation, on behalf of the municipal corporation. othey Pu lie i t♦. JUdY M. JENKiNS ;yg}a `~-MiNNE5C7:: ~u• p'h' m~sbn E>Jen. 31, 2065 • 4 CEDARVALE BUSINESS CENTER, a Minnesota general partnership By: Its: 13Y! N STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) The foregomi was acknowledged before me this ?F~*"day of May, 2004, by ~a U r ~C y and , the and of Cedarvale Business Center, a Minnesota general partnership, on behalf of the general partnership. n n~ LINDA MARIE DRALLE t r : •?iARYPUBIIC-MWNESOTA Notary Public ......on G.pirs Jan. 31.2CD5 THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley, MN 55124 (952) 432-3136 (RBB: 206-21773) 5 r r ` r .I ~ V `tyy 1 1, ~ 1 ~ V S CC . cyill \ EXHIBIT - -AL ~y P1 ~~r. s/levy C9 0 2 5 5 3 mil Request Bel Fire No Rdughdn hipleic Lon Regmretl Inspection Other Than Rough-In C (You don Il inspectorwhan ready) ❑ Ready Now ❑ Will Notify Inspector - Yes ❑ No Date Read lid I licensed contractor O owner hereby request inspection of above electrical work at: Ad ria;x (Street Box or Route No 1 1 City en r v Q Section No Township Name or No Range No County l~.rt (PRIN~~ Phone No IJ Power Sapplu r Address Electrical Contractor (Company Name) 11 Go c r5 License N 2 v--¢_ 0 eJ Z c ailing Add, ICO tractor or wner Making Installation) AuOOr¢ iyna (Con or'Owner Makng Installaao I Phone Number MINNESOTA STATE B ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION Ea-00001-09 I► See msimcbons for completing this form on back of yellow copy p 0 02553 ~ "X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired EgmpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Load Management Comm /Industrial Furnace Other (Specify) Farm Air Conditioner Other(spscify) Contractor's Remmns rly n ~y~. •A® G Compute Inspection Fee Below. 2 S c r • •`3c~14- (p f r ~r°T # Other Fee # Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ~ b to 100 Amps Transformers Above 200 -Amps/' Above 10 Amps Signs , Inspecturts Use only G! TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHI M0NT I, the Electrical Inspector, hereby Roi Date certify that the above inspection has Final Date been made. f OFFICE USE ONLY This request vom 18 months from rC) sE t~l CORRECTION NOTICE 3912 CEDAR GROVE PKWY DATE: Address Site Name Owner/Agent Telephone Owner/Agent Address Ordinance Nos. and Corrections - Correct By For reinspection Eagan Dept. of Inspection Inspector: 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Dept.: Receipt MECHANICAL PERMIT t--lbn~it No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Pint legibly Tot. 1. Date 7 r!! 2. Installation Cost C 3. Job Address Lot G ~d Blk. Tract 4. Owner ( T -Uh(' 5. Contractor Phone 6. Address 7. City 8. Building Typ' 3912 CEDAR GROVE PKWY . 9. Work Descrirm - 10. Describe i c c- t= Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other - Air Cond. - Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all.ordin p and codes govring this type of work. Si ned : g for Rough Fi I Inspections: Date Insp. DateO - Insp.,.T4efA-- This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 J Receipt l PLUMBING PERMIT. Permit No. f CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner ,y> ~•!^'~.,er.~1.~°~l' a 5. Contractor 1 Phone 4 i 6. Address ; [ / ,rii r' ' ; • r 7. City i State zip 8. Building Type: Residential ❑ Commercial C9 Institutional ❑ 9. Work Description: New ❑ Add Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 2000 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN y [~(O / Re uirements -1 C c"x~t2S/ - 9 -o" Foundation Onl 3912 CEDAR GROVE PKWY Interior Improvement • Structural Plans (2 set Architectural Plans (2 sets) • Civil Plans (2s eC.,~. Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (Z'ses Project Specs (1 set) • Code Analysis (1) " . Landscaping Plans (2 sets) • Key Plan (1) • Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp- & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" 1 • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always- I • Project Specs (1) 1 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Fin: Protection Plan (1) 1 1 1 1 • MCIES SAC determination letter . MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651-602.1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE: WORK TYPE: _ NEW REMODEL CONSTRUCTION COST: /J,, zOd ' c)d DESCRIPTION OF WORK: i~ I „o a aW- n C (ACA- y( V-\ TENANT NAME: Iii (X~hr~ SUITE: FORMER TENANT NAME: SITE ADDRESS:_ ~C l c ~c u y LOT _L BLOCK I SUBD AY P I/ Name: CPA-5 P di'd y'D f2, Phone#: (f 7 PROPERTY Last First / o _9 3 OWNER , J Street Address:.2& Oy bi-/2 ,44) _ S % N - 9 City M (J S State: /LJ Al Zip: J _S` I// 1 Company: 5's Phone ( ) CONTRACTOR Street Address: City (L<~~ .ems State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration ' Street Address: t City State: Zip: i Sewer/water licensed plumber (if installina sewarhvaL tr Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 41, OFFICE USE ONLY BUILDING PERMIT SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments -tT-27 Commercial/Industrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF WORK TYPE ❑ 31 New ❑ 34 Repair ❑ 37 Demolish Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 35 Tenant Impr ❑ 38 Demolish (Interior) ❑ 44 Siding 'E33 Alterations ❑ 36 Move Bldg. ❑ 42 Demolish (Found) ❑ 45 Fire Repair ❑ 46 Windows/Doors GENERAL INFORMATION Census Code 14 3 7 Zoning sq. ft. SAC Code 3ACJ # of Stories sq. ft. No. of Units I Length sq. ft. No. of Bldgs. V Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test J2rHeating ❑ Insulation l Plumbing ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION:$ 1S Z00.°0 Permit Fee Surcharge -O Plan Review I a - y i MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication " Water Quality Other Copies Total For Office Use , --7C a ® # r Perm7 it#: �/ 1 E AGA N C" Permit Fee: Staff: L J ` 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: X1 Yes No (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinginspections(ni,cityofeagan.comr Plans: Electronic Paper Plan Submittal: eplanscu�citVofeagan.com ( 42Qc— � CC�r OKt L 2018 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: 8/16/18 Site Address: 3902-3938 Cedar Grove Pky Tenant: Cedarvale Shopoping Center Suite#: Property ner ', Name: JBL Phone: Name: Gilbert Mechanical License#: r Y���i � Address: 5251 West 74th St Edina mnZip: 55439 City: State: Phone: 952-835-3810 Email: rhammond@gilbertmech.com 1tltliIIIPgIa New _Replacement Repair _Rebuild Modify Space _Work in R.O.W. Typ. :fictql Description of work: Backflow prevention per Hydrocorp '0G'r 'II�Iuq���P� COMMERCIAL New Construction ✓ Modify Space Irrigation System( yes/ I no)( RPZ/ PVB) 9�s@,:,1,0111111100 Rain sensors required on irrigation systems Permittype • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) 0���I tllo�m pr '' "„u��mm��l Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 tl Avg.GPM High demand devices? Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$7500 x.01 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) -$ 75 Permit Fee =$ 3.75 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ 78.75 TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cltyofeaoan.comisu bscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 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,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Rick Hammond Applicant's Printed Name Applicant's Signature FI Ii =' ii'!"19YD@l'hi i ` a ''''1000040000 .(IgolM . A P _ red Inspect _- (1 f K(yrr ll�I�E III '__ a x�, es".;.TM' #1 r.no3 -' "f__�, itlgllPiiliria, lldlk� Page 1 of 3