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4296 Sunrise Rd - Zoning Permits & PlansC!tyofEaaau 400o 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-6686 Fax: (651) 675-5694 Email: planninaecitvofeaaan.com For Office Use x� Permit it: /tkc i Date Received: (4PM ZONING PERMIT APPLICATION - p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PROPERTY INFORIIMOR Site Address: Owner Name: 419 (i 5 c e)s ACT Name: Address: Applicant Signature: Email address: S Gic6ci `Phone: 5 City/State/ZIP: :55-6/ 5C r Date: 7 — I aCd-i/P1 TYPEOF. WORK 0 Retaining Wall <4 feet ❑ Patio 0 Sidewalk Lf.Driveway 0 Sport Court 0 Fence \ '� Description of work: I 0 Other: Setbacks. 4hr }Serfalle coverages;shoreland Toning, bluffzone/setbaoks, etc. Approved / De ed Date of Approval: lines to be verified contractor/owner. Staff: CS IV IMca W eAt• iN i/o t i,. Property by Revised Plans Approved: Yea 1 No Date of Approval: Staff: • ENGINEERING Grading, drainege, utilityeasements, wetlands, erosion control, improvements in the Fight -of -Way, etc: Approved / Denied Notes: Date of Approval: Staff: a Jj Revised Plans Approved: Yes I No Date of Approval: Staff: _ COMMENTS d til' d a e Call • CALL BEFORE YOU DIG. Cali Dopher State One Call at (651) 464-0002 for protection against undergroun u ity am g . 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orq G:\Building Inspections1PERMIT APPLICATIONS\201112011 Permit Applications RICHFIFLD CONCRETE *- The Twin Cities Paver of Choice -' ESTIMATE By: %'1%4v 's #6S1- )L1'Y0l/ Date: e?0.9) /6(?-1 Name: C 1 SSc( ///706e7 Address: V?6 24 1 City: ) Q3 c? sI I Zip: 55 # (19 — 67a_ 7$)( Txt # Premium Concrete Service ❑ Apron U Patio b S iveway U Sidewalk ❑ Steps U Garage Floor ❑ Stoop ❑ Curb 0 Footings ❑ Sub Cut 0 Color 0/Kermit (if needed) (Remove Asphalt (Extra charge if over 4") Pd'iemove Concrete (Extra charge if over 4") W-Remove Gravel, Dirt or Sod CD -Addition to driveway l ®-Regrade for proper drainage - Devotion change maybe needed. (See revers ®-Cravel as needed (up to 4 inches) T inches Titan Concrete Mix • 5000 PSI • Class A Rods • Intregeral Sealer • Zinc Coated Steel Fibers • Formulated for MN winters d -Finish: Broom / Smooth / Exposed I Saw Cut / and joints / (8 feet or less) C-Sackfill Hom r lrass Repairs. omeown 2) YR Warranty (see reverse) Estimated Cost: Deposit Balance X 2 Customer Apptoval I262) ate I have read and agree with the terms and conditions on the reverse side SIGN AND RETURN WHITE COPY P L F P ❑ ❑ RICHFIFL D CONCRETE All of our crews are certified by the American Concrete Institue. No Yes Replace as is I ❑ Flares 0 Pa, Stumps/Roots ❑ iY No Yes Water shut off ❑ New Cover l:11- 0 Drainage Problem qv ❑ ❑ Design on gip.\I\ `� `t� 3 separate copy 0 Garage Door 7' / 6 0 Sprinkler heads? be verlfl K /1 * A ,--. 69.2cAlkf I�MDI/�{ f �/ Qkft 6 Feflo V Property by co Ines to tractor/owner. 5(-6-,-(rt 22' MAX wic}FN" - ce ux., ttn PAlt► Risk of Concrete in Minnesota 0 Ok to use Bobcat in yard. Customer responsible for any yard/landscaping repair. Initial Peeling, cracking excluded from (See reverse) Intial /► . . and popouts are warranty. / �/ �L . 7745 2nd Avenue S • Richfield, MN 55423 • Ph: 612-866-8073 • Fax: 612-866-8078 • www.richfieldconcrete.com Licensed • Bonded • Insured eiosauuiN 'ue6e3