3555 Woodland Ct - Zoning Permits For Office Use
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3830 Pilot Knob Road 1
Eagan MN 65122 Date Rece ved:
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Phone:(661)675 685 I
Fax:(651)6754694
Email:planning cityofeaclan.com
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: ..? .. -'' j' C h 1 ' _.�
INFORMATION _.._ �._ .
Owner Name:K3 /1 c-:. op 1 �
Name: t = one:
Address: iJ J S. C' tstaietzi s< , ; f i,t e "- - --
d ss ,,,_ „,r,„;61-11-... f” ,°& iY P . 1`_ �_ _.._` 2
CONTACTil6
Applicant Signature: ♦4 .-, ''i* Date: Lam' .Fi
V_
t• ,-VIP
Email address "`' .I Q" i.6 ).. i- 1C''
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0 Retaining Wall<4 feet • Driveway 0 Other.
TYPE OF Patio 0 Sport Court
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WORK Li Sidewalk 0 Fence
Description of work" —.._._
PLANNING Setbacks, hart surfew coverage,;shoreland zoning,bluff zone>>'setb lts,;et.
, 2
App Denied Date of Approval. ]( • /�( Stag. — t' _. ��_ CC U
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„ vari l
Revised Plans by contrraCtof/OWt"ier.
Approved: Yes I No Date of Approval: Staff
ENGINEERING Grading, drainage,uthity easements, vet€arras„erosion control,improvements nts in the Right-of-Way,etc.
Approved I Denied Date of Approval: Staff,
Notes: •
Revised Plans
Approved: Yes i No Date of Approval: Staff
COMMENTS `I
CALL BEFORE YOU DIG. Cali Gopher State One Call at(651)464-0402 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilit?es. www. opher tateonecail.or
t3:lk3uilding lnspettannatPERMlTAPPLICA"TlONS1201112O11 Permit Applications
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. .. - The Twin Cities Paver of Choice ..w '
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Date: ,-- i L
Name: A /e.; j �di P
Address: 3 5 c5 livi:,,,,..:1r ",'�'
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City: v „ momP j
55 Q
,/ 67/1
• Phone
No Yes 1 No Yes
J Phone Replace as is J SI
i Water shut off Te3 -,
J Flares 3 New Cover 1 .....1
Stumps/Roots J Drainage Problerr. J
Permit i#needed _I Desmn on separate __p J ::orifnl ler heads? Property Line?
1 Remove Asphalt(Extra charge if over 4").
• Remove Concrete(Err,. c . ct
U Apron removal 1 nor 2 car 3 car
j Cap Blocks (Does no: in. ...0 .:r,lrlation work) `
�
L] Remove Gravel, Dirt or Sod
3ase,after compaction
O Your existing base and ours
1
El Regrade for proper drainage i , _ _ , ,,
b , Hot Mix Asphalt compacted to 7 t '
U Addition to drive
d
U Concrete,see concrete form 1
J Approximate Square feet 11(:),O €?
11 5 Yr.Warranty
Yr.Asphalt Protection Plan(see details on back) /
Options: (Not included unless checked and Irina oo) /
.1 , Prv `r'1P t;trs be ver
Fabric Installation SF
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,antraotarlOWnar.
U Permaloc LF S ',q - f „ - p I
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Customer Initial -, *..
Cost
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Estimated
Down 15 4.
. k - 2,2 0A-Pc i,' -1 1
Balance ���®
Customer Approval i Dat / l 0
I have read and agree with the terms and conditions on the reverse side
SIGN AND RETURN WHITE COPY
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7745 2nd Avenue S •Richfield, MN 55423.Ph: 612-866-6636 »Fax: 612-866-8078,www.richfieldblacktop.com
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