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553 Hackmore Dr - Zoning Permits & Plans For Office Use 1 0 tail 41,101,0 , i.,..._, '-7/ (_,) y iPermit tr. , - 3830 Pilot Knob Road i l Eagan MN 55122 Date Received _ 1 Phone:(651)6754685 Fax;(651)8754694 Email:,pia nnina ci ofe nan,com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PROPERTY it res , _� .., ,,�'- t_ _.- - gym. tNPRiATlON ° '' O wrer ,erre: Nt. r ,t >4. *.�s - -- City/State/Zip- `'*. r -:)t • Address; - CONTACT Applicant Signature: -§ }. _ Date w Email address' t "`�°° '' .'s ;-- . r i, 1 0 Retaining Wall<4=feet • DrivewayCts=_ TYPE OF 0 Patio 'M"0 Sport Court WORK Cl Sidewalk 0 Fence [escnptJon t f work; PLANNING �x, Setbacks, coverage,shoretand zoning, bluff zone/setbacks,etc. W� App rov .44.0eni�ed Date of Approval: ___ Staff: - / i j/1x,1/ i -_ Y T ret# W Revised Plans ' Approved. Yes t No Date of Approval Start: �� Gt,crc,�tCl.,�;OWrieG Et SNEERING Grading, drainac e,utility;,$se sots,wetlands,erosion ho ntrol,improvements in the Right-of-flay,etc. Approved/Denied Date of Approval: ___ .,.,__- ._ Staff Notes! '1 0'ttt"s ?ri e„`evitcant l €-r off-nioliance with a • •+' Revised Plans _ Approved. Yes f No Date of Approval _ Staff , COMMENTS r CALL BEFORE YOU DIS. Call Gopher State tine Call at(651)454-0002 for protection against underground ,til€ty damage. Call 48 hours before you intend to dig to receive locates of underground utilitiesv.r�ocsheretateoneefil.org GAeuildi,tg inspectonskPERMlTAPPLICATIONS12E?110011 PerrnitApplications . .._ tip o � .:4 V'' JI± W3YY iCate:_ _. J Jar ne" G 1—'' Address....__ / ' _ 1\ 7._. ` ,', _ fit " - ` J lh�ne g Nv I ......-<..,_._ o a< ._... Rpr_ld(.e as -o _..- J :.:..V,Ia.er smut off , J 1 Stu€ psi cs _�dt .� raiti�a e, P _.alar,• J prrnit if eeded .J Design on sep at? i y+ � r niclor htad ' P . e , rye'° move Asphalt(Extra charge if over 4') S£ r ti r ve Concrete(Extra charge if over 4) �r , r t : ''-Aprcn removal 1 car 2 car_..__-_ 3 care :� a r w map Blocks 3 Does lint include foundation°:vvorK .; `. J Refire Gravel,Dirt or Soc �-y .Base,after compaction ' J Your existing base and ours ` -- rade for proper drainage '" ''' _ r 6 _Hot Mix Asphalt compacted'io �_ J A tO drrive_ -A: t i It ',,rt Cl , t *', Concrete,see concrete fora 4 11-- pprcximate Square feet ./ _ ..?.__ " Yr. Warranty _ Yr Asphalt protectionPlait see details cn"dace.' \,, Options: (Not included unless checked and initialed) Al 11' Cl Fabric Installation Sp._ f l 1 Cl Permalod LF , . l -3(.., 9 Customer initial 1, li : --/C* ___,,,,„,_„,,,,,,,,,___ i • Estirnated lower .n � �e...� .. 3 . 0 Balance ._ .7,7,___ :* _R _ (nave read and agree with the terms arc con Borns on tine lav eL .,,,,:le. �►.. t A __2 SIGN AND RETURN WHITECOPY e -' g" cfrxtai°� �'�t +if' f, n C w4C a ' ' 1-1,-,,,,;.pont‘',-. ,,..,n,,,,,,..r1,...,:....;,.?..,i,,_ ,,.. . f 7745 2nd Avenue S*Richfield,:MN 55423.Ph, X55-8836.Fax' 612-866-S378•w v .richfieicibiacktop.cor n i.,icensetx . Bonded , Insured