1378 St Andrew Blvd - Zoning Permits For Office Use
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City of EagAll
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3830 Pilot Knob Road 4i
Eagan MN 55122 LDtO Received:
Phone:(651)675-5655
Fax:(651)675-5694
Email:plarintrinacityorearianiCom
ZONING PERMIT APPLICATION
0 Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
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PROPERTY Site Address i t l'') _ t • •(...; .k..,1,,„/
INFORMATION i „, . .„,,J ,........„
Owner Na ' 1/lc r ,--J----;,--',, z---:*-...L' : ,,,,,,, _
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Address: 40„ _, '-,- , ' - fr, -,t4.C" 1 r. V -'.:„..4"."''''' City;StaterZip: ..; '‘--- ' I t.. Q.,,,.:.,' —4.- -ii -
CONTACT
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Applicant Signature: v.-am....„...sinew, ,,,...ii. _ Date: 6)._ (0
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,1 k-N .1.(7; 24C 411 C C C'i 1
Email addresser Ci:":"T ii70 *C7-:-......-1 I i. -' 1 . -i - ,
o Retaining Wall<4 feet a Dnveway a Other: ' ‘.•
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TYPE OF 0 Patio :.--0 Sport Court
WORK . 0 Sidewalk 0 Fence t 1
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Desoriptign of vvoric
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PLANNING Setbacks, hard surface coverage, shorelend zoning,bluff zone/setbacks,Mc,
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4 Approve* -Denied Date of Approval: L / ‘ 1( S ti *- / Staff t,"i • 'fl f-te, at.
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ve-es, :fl 0445,e 1.41ici-it-rv' de,e.‘.› 1 Lt 1 C.,.k-41.,.e...a c2a i _k-to,t_
t,/ti,,t) 1-e5 0 to ,24,„ „,/
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Prorierty!Mee to be verified
Revised Plans
Approved: Yes/No Date of Approval:
ENG1NEERIMG Grading,drainage, utility easenients,wettanda,erosion control, improvements in the Right-of-Way,etc-.
Approved/Denied Date of Approval: Staff
Notes: .
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Revised Plans
Approved: Yes I No Date of Approval: Staff
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COMMENTS
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CALL BEFORE YOU DIC Cali Gopher State One Call at(651)454-0002 for protection against unoerground utility damage. Call i--
48 hours before you intend to dig to redeye locates of urcierg"cund tialities www,00pherstatoonecati.ora
G.:atilt:ling Inspections‘PERNIIT APPUCATiONS\2011\2011 Permit Applications
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ESTIMATEB '. it ' 6. .__ y _y _�. _ _._. .
Date: ...5 "�__. U � �' $- �
: ) c o P s _ _
blame .. ,... ..
Address: j si 1 _. �' �3. �� _ =F
ACCREDITED ,
r _t��; �_ . . . .. `_ __W2. Zip: 55 3Bu NE*r
j Phone ;; I
No Yes No Yes
LJ Phone Replace as is 1- J 1 Water shut off ..
Flares , New Cover J
Stumps/Roots ,I.,in Drainage Problem? t~" ,
errnit if needed ;.
Design onseparate copy J S r nHer l ns_ Property i_...e
e ove Asphalt(Extra charge if over 4 )
J Remove Concrete(Extra charge If over rl
`Li Apron removal I car _. . , 2 car 3 car
• Cap Blocks (Does not include foundation work). r
move Gravel. Dirt or Sod r �
V"` _ Base, after compaction Qv
Li Your existing base and ours -)
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;A-'Regi o or p r op
er drainage
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,..- _ Not Mix Asphalt compacted to.so' „___ "
G ^f4Cditirr�ttlrEV .J Concrete,see concrete foraet-
Vi2/4,
H-ilApproximate Square feet_r ,:: r1 1 ; ,
41--- Yr.Warranty ! (i_ i 1 ,e 5 t
4-.7-,. Yr.Asphalt Protection Plan (see details on back)
Options: (Not included unless checked and mita elf i . ,, is; i
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i=i Fabric Installation SF I '�
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Customer Initial1
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Estimated Cost: `°
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Customer ALS')'
I have read and agree with toe terms and conditions on ice reverse sloe. , ii
SIGN AND RETURN WHITE CO , ,41 r 'Ii-,, Cr =
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