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4729 Pebble Beach Way - Zoning Permits & Plans City of Office Use EagAit Pe It /Alii 1 1: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received, _^ Phone:(651)6755-5685 Fax:(651)6755694 Email:planninci/licitycifeattartcorn ZONING PERMIT APPLICATION 0 Please identify improvements on a scaled site plan drawing that shows lot lines,structures and existing conditions. pRopifftTy Site Address: L. f f —, V ' 7 z ,tiew, 1,,,,v, iv-Le ! I 0 - s Owner Name: J Name' , „ s 1P,��r �Z`= Phone; '/2.-% `'- Address. 1 = __ .,., �, 'r` City/State/Zp. i 6, '1 _3 °It CONTACT _. /MIN, ,r (i's Applicant Signature: !ZtLlr4llIllP Date: Email address: ''. els --<..„4" 6(1t ,, _ , i ❑Retaining Wall<4 feet Pitriveway w Other- TYPE OF 0 Patio 0 Sport Court WORK 0 Sidewalk 0 Fence ; Description of work _. PLANNING iG Sehacks,hard surface-coverage, aland zoning,bluff zone/setbacks,etc, ; - Rprevec Deni �C Dented Date of Approval: � I r . Staff: ., II 'dates. Property lines to be verified by Contr .ctcr/ :tin r. Revised Plans E Approved Yes 1 No Date of Approval: Staff. ENGINEERING • Grading,drainage,Utility easements,wetlands,erosion control,inyrovernents in the Right-of-Way,etc. * Approved!Denied Date of Approval. Staff. Notes: Revised Plans Approved= Yes I No Date of Approval: staff: COMMENTS 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.orri G:\Suiiding InspectionsTERt41TAPPLICATtONS\2011\2011 Perrot Applications 1 1ELc - The Twin Cities Paver of Choice - RICA = ) ESTIMATE By_ /'` 1 ; #i ii W� 67 - k Mame. J i �, . � ��1191,i � ' s ..mow Address: ----; - 4 J s og :.. City: , 9 `.'7 Zip:55 1: f, J i ACCREDITED E No Yes No Yes J Phone ; Replace as is .,+ J Water shut off J p Flares , J } New Cover - J ,,, ' Stumps/Foots J 1 Drainage Problem 14-`1'' J I J" Permit if needed J Design on separate copy J Sprinkler heads? Property Line? .Zk R"emove Asphalt(Extra charge if over 4") J Remove Concrete(Extra charge if over 4") J Apron removal I car 2 car 3 car J Cap Blocks _ . .(Does not include foundation work) ove Gravel; Dirt or Sod ;° _ f base,after compaction ..;1 Your existin: base and ours ct Le-'R rade for proper drainage si" 3 i, , L ~ �... Hot Mix Asphalt compacted to "Addition to drive. _.., ,„ / '' J Concrete, see concrete form ie-Approximate Square feet_... ... (-I r 4(;)"—_5 Yr.Warranty 10' , t1 14/ --j Yr.Asphalt Protection Plan (see details on back)I S�'`) ,i ,\ tisil\'' Options: (Not included unless checked and initialed) ; - J Fabric Installation SF_ 5 ' W J Perrnaloc LF . __ Property lines• be vl key ntr ct rto�rrrtr. Customer initial c, "w Estimated Cost: Down i to Bala e � �e n_ ,.�1.1:1L,,,--7) .� __ ____.�_ i IL„ —1 Attii- c starror ApproveDate ' V _ have read and agree with the terms and conditions on the reverse side, SIGN AND RETURN WHITE COPY 5,:_k___iii-ti-'t, ftt—t—' 7745 2nd Avenue S •Richfield, MN 55423 , Ph:6I2-856-8836=Fax:512-885-8078 •ww+rw,richfieldblacktop.corrt` Licensed , Bonded A Insured