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3644 Widgeon Way - Zoning Permits & Plans City Eaaaii For Offlae Use ofPermit*: /51/61 C 3630 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(861)675-5685 Fax:(651)6764684 Email:Dlannlnal9citvofeaaan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Site Address: ?) 1J _C/ Wc y Owner Name: G ` ± Name: � "' Ic)IIZ PPhone: Z" - "150S3b i � 4 Address: 7 4 `S City/State/Zip: t-11 j i► COMACT �lr•-� Applicant Signature: '"r''�` ~ Date: `J !fci Email address: , 5 ,c 'f.` k(a th?.c tea O Retaining Wall<4 feet Driveway Other. �> TYPE OP ' 0 Patio 0 Sport Court 0 Sidewalk � Fence Description of work: 14F-fo f Appro d-t?enied Date of Approval: '' ' -(� Staff W Burr i1 120 - co !,r -�- �S i S Li,/ k-o ey,4:its/e & a//iw J 1. /S �P� �•'c I , <i o� w, acrrq Y Revised Plans Approved: Yea l No Date of Approval: Staff i . ilk; : rim in the Ritiht4fWay,etc. I Approved/Denied Date of Approval: — Staff Notal: •• - G Revised Plans Approved: Yea I No Date of Approval: Staff cO 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.aoaherstateonecall.orst G:18utldtrg Inspectlons\PERMIT APPLICATIONS12011 t2011 Permit Applications ii-/s9-60 RICHFIELD — The Twin Cities Paver of Choice - RICHFIELD BLACKTOP BLACKTOP ESTIMATE By: jcc, #(p S/- 11- Va ?j/ „ __, 1V— 1 Date: I _ ••2015•x` 6 Name: 6- r-y 1711 9 ci G P ❑ 'Angie%lisp L LI Address:3 6j Y l/v t CC, tai ssRVi �, BBB B U AWARD"_ City: +> 4 .5 '1 4'14 Zip: 55 1 3 ACCREDITED P BUSINESS ❑ Phone 6s / -• Y3 y - 6 0 Gj J // No Yes No Yes is Phone Replace as is ❑ #]/ Water shut off Er' ❑ .,t Flares ❑ le New Cover [ - ❑ `- i'„.7) r, t- Stumps/Roots J ti Drainage Problem ' ❑ 1ermit if needed j'` , J Design on separate copy ❑ Sprinkler heads? Property Line? allemove Asphalt(Extra charge if over 4") U Remove Concrete(Extra charge if over 4") (iakI V13 Apron removal 1 car 2 car 3 car U r,rt Q iYCap Blocks a (Does not include foundation work) J Reinpyre Gravel, Dirt or Sod 9,&s } -yR -& Base,after compaction /// 0 Li Your existing base and ours IT I U" e rade for proper drainage S tl- � Hot Mix Asphalt compacted to a- .,1i a� _I Addition to drive J Concrete, see concrete form) C c /a D '1pproximate Square feet 1 5 / p 5 Yr.Warranty l� V� I Ll--J.Yr.Asphalt Protection Plan (see details on back) C "' < --"-1 � Options: (Not included unless checked and initialed) IT 1.1 Li Fabric Installation SF $ 0 3 .,.. A J Permaloc LF $ `'J yT a Customer Initial 1 a :::ted Cost: L • g/Q ,r �, r.,/ 0:7')� a ,.. ‘J k\N Balance y ,770 T �v� '' 7 Custolber Approval 6 Date Av I have read and agree with the terms and conditions on the reverse sid . �,i jar et SIGN AND RETURN WHITE COPY "` vr1 Vii. 1 St-t.-c-- 7745 2nd Avenue S•Richfield, MN 55423•Ph:612-866-8836 •Fax: 612-866-8078 •www.richfieldblacktop.com Licensed • Bonded • Insured