672 McFaddens Tr - Chicken Permitr
EAGAN
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810
(651) 675-5000 I cityclerka..cityofeadan.com
For Office Ussf/
Permit #: / 7 ''
Fee: $6C .0 (collectteed by City Clerk)Cl`
Date Received: 1�' ZII �' \
CHICKEN PERMIT APPLICATION
p Please identify coop and run information on a scaled site plan drawing that shows lot lines,
structures and existing conditions.
Site Address 672 McFaddens TrI
for chickens:
Name:
Applicant
Signature:
Email
address:
Jennifer Qarmout
Phone: 716-553-1981
4/5/21
Date:
jenarge@gmail.com
Owner Name: Jennifer Qarmout
Address:
672 McFaddens TrI
Property Owner Signature
(if different than applicant):
City/State/Zip:
5 512 3
Date: 5/4/21
The above referenced property's Homeowners' Association rules, if any, do not prohibit the keeping of chickens
on the property: (please initial)
Yes
No Not Applicable ✓
Dimension of chicken coop: 81" x 35.5" x 50.4"
Description of exterior
materials for the coop and run:
Will a fence be added in addition to the coop and run?
Description of fence, including
location, size and materials:
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. I
acknowledge that structures will be constructed in accordance with the approved plans.
Jennifer Qarmout
Applicant's Printed Name
CApproved Denied Review Date: 04-07-2021
Ns: keep 25' from house and 10' from rear property line.
x r/
Jennifer Qarmout
4Dlgita0ysigned byJennifer Qemn0
ate: 2021.04.05 09:15:18-05'00'
Applicants Signature
Staff: Erik Slettedahl
Applicant is responsible for
determining location of property lines
Revised Plans
Approved:
Yes / No Review Date:
Staff:
Approved / Denied Inspection Date: Staff:
Notes:
After a permit application is approved and the chicken coop and run are constructed, an Animal Control Officer will inspect
the space for compliance. Once the structures are approved, your chicken permit may be granted.
Cerfjficote of Survey for:
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'WE HEREBY CERTIFY 70 MANLEY BROS. IAT 1MIS :S A TRUE AND
CORRECT IEPRESENTATN4i or A SVFVEY OF THE B.JNDARIE'S OF:
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MANLEY BROS. CONST.
672 MCFADDENS TRAIL EAGE'N. M1NNESOTA
Applicant is responsible for
determining location of property lines
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City of Eagan
Cash Receipt
Receipt Date
Receipt Number
JENNIFER QARMOUT
0401.4116
672 McFADDENS TRL
Total Receipt Amount
145316 18:58:46
4/6/2021
234122
50.00
50.00