1979 Gold Tr - Adult Foster Care Permit PERMIT
City of Eagan , » Permit Type: Building
3830 Pilot Knob Rd '. Permit Number: EA161135
Eagan,MN 55122 """ L rosi Date Issued: 05/07/2020
(651)675-5675 ., •
www.ci.eagan.mn.us
Site Address: 1979 Gold Tr
Lot: 102 Block: 01 Addition: Countryside Villa
PID: 10-18350-01-102
Use:
Description:
Sub Type: Single Fam Construction Type:
Work Type: Day Care Inspection
Description: Adult foster care
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments: Justin Swanson 612-227-9014
Fee Summary: Day Care Inspection $50.00 1221.4216
Total: $50.00
Contractor: Owner: - Applicant -
JM Condo LLC
80-8th St S Ste 1850
Minneapolis MN 55402
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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