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1284 Carlson Lake Lane - Zoning Permits & PlansZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. CONTACT Applicant Signature: Email address: rt r /mil e • 4 C[("Pi 0 Retaining WaII <4 feet Td.Driveway 0 Patio ` 0 Sport Cawt 0 Sidewalk 0 Fence Description of work: 0 Other. PLANNING I Setbacks, Mari surface coverage, shoreland zoning, bluff zone/setbacks, etc. { pprovCe.LD1n(ed Property Date of Approval: '"r % 20/ a Staff e S lines to be verified by conitraater/owner, v lecore..) OS iS Siveeleve 11 Revised Plans Approved: Yes / No Date of Approval: Staff, , ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, eta�s�2 Approved / Denied Notes: Date of Approval: Staff; v4Fi„ Revised Plans Approved: Yes / No Data of Approval: Staff ,. COMMENTS I' � ,, CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 4540002 for protection against underground utility damage: Call.,. 48 hours before you Intend to dig to receive locatesofunderground utilities. uwuw.aopheretateonecall.ora uain: i' aor Name. Address. City r / I t i7 Zip 55 ❑ Phone- Perrnit if needed emoveAsphalt (Extra charge if over 41 rpo ncreta rar c#rarget_ U Apron removal 1 car___ 2 car 3 car___. ❑ Cap Blocks ___ (Does not include foundation work) Y ri ;. I:] Rers Gravel, Dirt or Sod Base, after compaction 0 Your existing base and ours gi. Re9rade for proper drainage - Swain may ia,.() 'i Hot Mix Asphalt compacted to_- U Addition to drive U Concrete, see concrete form 1-Approximate Square feet . i) 'BackfillU Homeowner Yr, Warranty (see details on back) tar, j Yr. Asphalt Protection Plan (see details on back) • Options: (Not included in esitmated cost) a Fabric Installation SF $ 4 : 'U. Permaloo:`'*F. ' $ Customer Initial Estimated Cost: Down Balances have read and agree with the terms and conditions on the r•everse side. Date PER SERVICE AWARD RICHFIEL ACCREDITED BUSINESS �No No Y : Replace as is 0 ater shut off LI- Flares LI t;Y New Cover ° 1.4" ■ Stumps/Roots p, Drainage Problem tom' Design on separate copy LI Sprinktetheads?'-':Properly Line cope 44 iS oparty lines to be ve fled` tiU contractor/owner. { 77Q5 2nd,Avenue S • Richfield, MN 55423' Ph 612 866-8836 Fax B�2 66-$QTI _• w�uw rich�ieldb ackkto� censed • Bond d •. nsnred� ..