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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