2264 James St - Zoning Permits & Plans 1 r
For Office Use
Permit#: /-5:5//r
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 -.,_
(651)675-5685 I TDD: (651)454-8535 I FAX: (651)675-5694 ��� t ti( Staff:
planning Ca�citvofeagan.com I.
2019 ZONING PERMIT APPLICATION
Please identify improvements on a scaled site plan drawing that shows lot lines, structures and
existing conditions.
/ / ,�
Property Site Address: 04 (" �( J a ill f S SF,
Information /
Owner Name: L--0/4 (/'L /4 a/7 fO/7
- - '.Name: j�- in,'Gi-- 0d-7c.6.- Phone: 6s /. 611%1. 11607
Address: /10 /4/'' ',167 . . City/State/Zip: ,___cr. , /
Contact
Applicant Signature: .--.„ Date: //2-?'// 7
Email address: ipP0a - 0 `f."-jre„.,. t zvy
❑ Retaining Wall <4 feet ❑ Driveway 0 Other:
❑ Patio ❑ Sport Court
Type of Work 0 Sidewalk $ Fence
i Description of work: Re-pia( t- 61,40/ ��,Cff 667-faire• /�'1 .�4, 7e_/Qcc iic7
Planning Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc.
/Approved /D nied Date: 41/- 1-/1 zStaff: - -# / 5k k j
I u4,40, i9cti. rt,tr,l«c( S,'c1L cL,.�l/ e_ 0,1,4-✓'c1
Property lines to be verified
Revised Plans b contreUtor/uwtmr.
Approved: Yes/No Date: Staff:
Engineering Grading,drainage,utility easements,wetlands, erosion control,improvements in the Right-of-Way, etc.
Approved / Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes/No Date: 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.qopherstateonecall.org
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.citvofeaqan.com/subscribe.
Premier Fence, Inc.
1105 Homer Street • St. Paul, MN 55116 / ._ ? //t
Office 651-698-4007 • Fax 651-698-1535
www.premierfence.com
Name/ Estimate Date Order Date
Job Site Address >Co 4 LI cL` -,G_-S_Sr Rep Phone Good For Days
City Zip County Cross St. Page/Grid
H Phone W Phone Marking Notes
C Phone Fax Marked By Ticket#
Email Scheduling Request Aprox.Lead Time
❑Permit Responsibility: ❑Premier ❑Customer❑N/A ❑Obstructions
❑Property Line ID(Addl Cost) ❑Removal/Haul/Footings ❑Accessibility
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Notes: