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2100 Viburnum Tr - Zoning Permits & PlansFor Office Use City of Eatali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5685 Fax: (651) 675-0694 Email: planninq(& citvofeagan.com Permit #. 1 4 41'L Date Received: ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. J PROPERTY JNFORM*TION` Site Address: (Dv ��� l/ r t v• tik( e L Owner Name: r � � Gc E' J 5 C � { { \ -e-•2IC/t4ne: C P( `C4 s cV 3 Address: � i C' /State/Zip: Date: CONTACT Name: Applicant Signature: Email address: Ca'-dvi TYPE OF WORK 0 Retaining Wall <4 feet ❑ Patio 0 Sidewalk Description of work: .Driveway ❑ Sport Court D Fence ❑ Other. ::PLANNING . Setbacks; ;hat d surface coverage, shoreland zoning, bluff zone/setbacks, etc.. Date of Approval 9/28/2020 Staff lsl 3'a zai 2Zekm.i Approved )Denied width at right-of-way is 22 feet. Okay as presented. Notes. Maximum Revised Plans Approved: Yes / No Date of Approval: Staff. ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right of -Way, etc: �1 Approved / Denied Notes: Date of Approval: Propertyilines to be _. verified by Contractor/ • Owner. Revised Plans Approved: Yes / No Date of Approval: Staff COMMENTS .: ` a CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call . 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecalLorq G:1Building Inspections\PERMIT APPLICATIONS1201112011 Permit Applications RICHFIELD`` — The Twin ESTIMATE By: ji/LCL (* #I Date: -- 1 `7 _ Q ) t2 Name: Address: City: ❑ Phone Cities Paver of Choice — y- (ivy 22- fir, l 711 /% Zip: 55 l ❑ Phone t Permit if needed -Remove Asphalt (Extra charge if over 4") ❑ Remove Concrete (Extra charge if over 4") L -Apron removal 1 car 2 car, j/r 3 car 'Cap Blocks _(Does not include foundation work) 13'Remove Gravel, Dirt or Sod [ZL Base, after compaction ❑ Your existing base and ours -Regrade for proper drainage - Elevation cna a may eeoeeded. (See reverse) p - Hot Mix Asphalt compacted to - 'j 8-Addition to drive / D Concrete, see concrete form U-"Approximate Square feet %/0; 9^Backfili: Homeowner Yr. Warranty (see details on back) e1 ' ) Yr. Asphalt Protection Plan (see details on back) Options: (Not included in esitmated cost) ❑ Fabric Installation SF $ ❑ Permaloc LF $ Customer Initial Estimated Cost: Down Balance `f x-� z/%z., Customer Approval Date I have read and agree with the terms and conditions on the reverse side. P ❑ L ❑ B ❑ P ❑ SUPER SERVICE RICHFIELD BLACKTOP BBB. ACCREDITED BUSINESS No Replace as is Flares Stumps/Roots Yes ❑ No Yes Water shut off Li-- ❑ New Cover CLI,❑ Drainage Problem C ❑ ❑ Design on separate copy O Sprinkler heads? Property Line? 7 t]&y. A-41l �-I Property lines to be verified by Contractor/ Owner. SIGN AND RETURN WHITE COPY 5. { E QX%` 7745 2nd Avenue S • Richfield, MN 55423 • Ph: 612-866-8836 • Fax: 612-866-8078 • www.richfieldblacktop.com Licensed • Bonded • Insured