866 Govern Cir - Chicken Permit JD,°�aV
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,,� � For Office Use
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Permit N �� I
Fee:$50.00(collected by City Clerk)
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 q
(651)675-5685 I TDD: (651)454-8535 FAX: (651)675-5694 Date Received:42119. 1
planning(acityofeagan.com L
CHICKEN PERMIT APPLICATION
o Please identify coop and run information on a scaled site plan drawing that shows lot lines,
structures and existing conditions.
Site Address Site Address Q/ ,,
for chickens: U�S/� GOV`e.��('� Circ,I.e_i E.C.c0c(-(1 55123
Name: €-VL 1 C0..or t& Q(0-ynOALC. L
SPhone: V I-34 I-57(00
Applicant r
Applicant Signature: Date: (CI t -1 9
Email
address: qfpv\AvNA-esa.e t 1Q,l t -co)/y‘.
Owner Name: S0.4(1/‘..52...J
Address: City/State/Zip:
Property and Property Owner Signature
Owner (if different than applicant): Date:
Information
The above referenced property's Homeowners'Association rules, if any,do not prohibit the keeping of chickens
on the property: (please initial)
Yes Np 4 ' Not Applicable rt )ec/
Number of chickens: 5
Dimension of coop: � /chicken 5
)/�
Dimensions of chicken run: 5 X 6
Coop/Run mateDescrials for thef coop
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n��W1 - (,,,'� S
p materials the and run: P 1'U, 1 , l(/t7 -r
information
vvv. Qu v)ooutr c'''"cAeun uotr2, roi3 -ill we .r
Will a fence be added in addition to the coop and run? Yes No ) �X1 C Q, e•(I
Description of fence, including 4 OC1 Y . \ n.1location,size and materials: 'c2.,f) c.
ehcAOSeS Q 1.0.r a.,rd
Page 1 of 2
G:\Planning\CHICKENS
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the
ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit. I
acknowledge that structures will be constructed in accordance with the approved plans.
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Applicant's Printed Name Applicant's Signature
Planning
Appro %Denied Review Date: 6-2_0 " '/itaff: - f-- K I
Notes: ! /' 411-- et-,/,¢ckfSIA- / �qu,�eS .
rroporty linos to he verified
Revised Plans
Approved: Yes/No Review Date: Staff: by contractor/owner.
Animal Control
Approved/Denied Inspection Date: Staff:
Notes:
After a permit application is approved and the chicken coop and run are constructed, an Animal Control Officer will inspect
the space for compliance. Once the structures are approved, your chicken permit may be granted.
Page 2 of 2
G:\Planning\CHICKENS
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