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1562 Rustic Hills Dr - Zoning Permits & Plans
r r For Office Use S-7 k1 it o a ai RE�EI�ED Permit#: c 3830 Pilot Knob Road Eagan MN 55122 SEP 1 8 2019 Date Received: J Phone: (651)675-5685 Fax:(651)675-5694 Email:planningacitvofeagan.com 2017 ZONING PERMIT APPLICATION o Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PropertySite Address: 1 6D 2 - Jl Alt,1,. 1)2 - 1 #4/p.,1\) 65 1 21 Information i Owner Name: M 4-1MiL.U(\ 3I-\ 1\A5\-1 M1 lqt-14-Pg\91sc 14043,I4AAK'S\-ktM 4 Name: -KA-12_e0 i Lc,eoN Phone: (-&I/Z- ) 9g9 --E5- `"7'J T Address: J�5 3 k3\ Lar 3Q) \..D City/State/Zip: ��PAUL.1 MN 512D Contact Applicant Signature: r r't , Date: 9-/3-/Y' Email address: Non&_9)1A,-1-fkit 10,0 V. COWL .aining Wall<4 feet ❑ Driveway 0 Other: ❑ Patio ❑ Sport Court Type of Work 0 Sidewalk 0 Fence &MRS Description of work: V O v L,W2. w.A it \(---( N9 00 0 F MO DV tAII- LO - 0 -T0k LP Mt1teA-rC.Ro5io lsvc-c, Planning Setbacks, hard surface coverage,shoreland zoning,bluff = setbacks,etc. 06;d Hied Date: g OM Staff: 7éi41 otes: as 4 �Pe "The ow -rlapp . res•onsible for compliance w rified Revised Plans a E1�' • ' • w _ ith •eve by contractor/owner. Approved: Yes/No Date: Staff: 8g` Grading,drainage, utility easements, Hands,erosion control, improvements in the Right-of-Way,etc. 15c.)-‘11a l SpCc. -t OPCS . = •9a�.-Hied Date: 9 / ' l9 Staff: 11111b - z AV- _ - Notes: Ens t~rt. b©v"1 clef Ou4ccoc ?;Asie►ve a 3 o5 +6 G d S iit _l--ter. Revised Plans Approved: Yes/No Date: Staff: Comments CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 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