1855 Jade Lane -Zoning Permits & Plans * EAGAN
For Office Use
Permit /� Y?b I
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5685(TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
planning(6).citvofeaaan.com •-
2019 ZONING PERMIT APPLICATION
Please identify improvements on a scaled site plan drawing that shows lot lines,structures and
existing conditions.
Property Site Address: 'r(US 04,c_ L-1
Information a
Owner Name: I� 4" 6,ttAt c'
Name: ,4— — &V -( Phone: "4-gr,t l3.z..-ct X W
Address: I'S L '-'"• city/State/Zp: /-*tAJ/$SJi0
Contact
Applicant Signature: �-- Date: .4-�t,jyt Q
Email address: ()CS k - w1 7((2i( —43-f)04--0-1 � ""1
D Retaining Wall<4 feet { Lfriveway 0 Other:
0 Patio 0 Sport Court
Type of Work ,*Sidewalk 0 Fence
Description of work: 2q-* 4, 14o co,nve, 4 3
g.,,ii.s
'ng Setbacks,hard surface coverage,shoreland zoning,bluff zone/setbacks,etc.
f
Approved/ enied # Date: Staff:
: I)4-0%14.0 et,eAet444.- Welk_ tray
7Z` 0440, S 4o
pertrityf
Revised Plans
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: Property lines to be verified
by contractor/owner.
Revised Plans
Approved: Yes/No Date: Staff:
Comments
CALL BEFORE My DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orq
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.citvofeaaan.com/subscribe.
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AURORA ASPHALT & CONCRETE
A Division of the Aurora Group, Inc.
www.aurora-asphalt.corn www.aurora-concrete.com
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Authorization of Design Date liati4 Estimate# 03c6 2-
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