4031 Pumice Lane - Bee Permit•
•.ems••I/
EAGAN
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5000
cityclerk@cityofeagan.com
L
For Office Use
Permit #:
Fee: Initial $5d, Renewal $25
Date Received:
BEE PERMIT APPLICATION
❑ Please include a detailed sketch plan of the lot on which the colony will be located including
the lot dimensions, proposed location of colony hives, accurate measurements in feet and
inches of the proposed location to each of the lot's property lines and dwelling units on all
adjacent lots.
Site
Address for Bees: 4031 Pumice Ln
Name: Vaclav Grym
Applicant
Signature: / '`�
Email
address:
Phone 630-423-1542
Date: 8/30/2021
vaclay.grym@gmail.com
Owner
Name: Vaclav Grym
t3n
State Eagan / MN / 55122
Address: 4031 Pumice Ln /Zip:
Property Owner
Signature (if different
than applicant):
Date:
The above referenced property's Homeowners' Association rules, if any, do not prohibit the keeping of
bees on the property: (please initial)
Yes
Number of colony
hives:
Not \
No Applicable V
Description of flyaway No flyaway barrier required; 25 ft from all property lines and 35 ft from structures
barrier:
Page 1 of 2
Please attach proof of attendance at a beekeeping course or
proof of at least 3 years of prior beekeeping experience.
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.
xVaclav Grym X 2/,
Applicant's Printed Name
Notes:
enied
Applicant'gnature
Review e. ; _ 2' Staff:
Date: T
/ tia.'} Z clCctia t 4e ...-a. Ad i & Jet des. t'r lid .
Revised Plans
Approved:
Yes/No
Review
Date:
Staff:
Pmparly lines to be verified
by contractor/owner.
Approved / Denied Inspection
Date:
Notes:
Staff:
After a permit application is approved and the hive receptacle has been purchased, an Animal Control Officer
will inspect the space for compliance. Once the structures are approved, your bee permit may be granted.
Page 2 of 2
Property lines to be verified
by contractor/owner.
City of Eagan
Cash Receipt
Receipt Date
Receipt Number
VACLAV GRYM
9/1/2021
235592
0401.4118
4031 PUMICE LN INITIAL APPLIC
Total Receipt Amount
145316 14:16:42
50.00
50.00