4064 Amethyst LaneCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
TION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
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PERMIT SUBTYPE:
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f ? APPLICANT:
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TYPE OF WORK:
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Permit No. Permit Holder Date Telephone N
ELECTRiC
PIUMBING
HVAC
Inspection Date insp. Comments
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
65MT FINAL
DECKFfG J
b
Si
DECK FINAI
L
CITY OF EAGAN Remarks }-rLjldRitinn
Addition CEDiAR GROVE #5 Lat _ 22 aik 10 Parcel 10 16704 220 10
' Owner Street 4064 Amethyst Lane StateEa<3AI71• MN 55122
.
? ??? ?•J
Improvement Date Amount Annusl Years Paymant Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3Z- 1967 100.00 5.00 20 Paid
SEWER LATERAL 33- 1967 525.00 Zfi.20 20 PSld
WATERMAIN r
WATER LATERAL i(e 607.00 Ztj. Z$ ZS Pdl.d
WATER AREA
STORM SEW TRK Z3 1974 70.00 4.66 15 Paid
3TORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PEFi.
SAC 200.00 833 - 9-26-68
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
oWna: ------ •- - -•?` `- .?-?._?':....
6
Addrecs lPresent'? ) -'U '?----°y---------....------°--
Builder .._..... ef'?-Z.--...?.:
....... _..
Address .../s__7 020 ":.._'78 ? ??<..-Qn- SS35f3
................ ... ....._---f---- -......_-- -
DESCAIPTION
11T° 2342
Eagan Township
Town Hall
Dete .................. ....
....
Siories To Be Usad For Froni Deplh Heigh! Esl. Cos! Permif Fee Remaslu
?
I Q-!?`- /a, rZ1 oZ../B-o !, ? S/A<-eC.L
LOCATION
/10G-/ I ax I / o 1 G° .h S
This permit does aot aulhoxise !ha use ot si:eeffi, roada, alleys or sidewalks nor does ii give the owner ot LSs agant
the righ!!o ereafe enp silus2ion whic6 4s a nuisaace or which presente a hazard !o !ha healfh, sefetp, coavenienea and
ganeral welfare !o anpane in the communilp.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGRESS.
This is !o cerSifp, fhat................................................................ has Permission !o ereef a-----.?.r........---... -----....f+? ..... upoa
the above descsibed premiae eubjeet fo the p:ovisiona of the Building Ordinence for Eagan Townsh' adop3?4d April 11,
1955.
?. .._.... Per .............. ?:..`.:ec?"'...........Q......p._........"""-......."'.....
.........'- .................... . ^!r-"_ '-'-"r'_ • ----._? ........
hairmanof Tnwn Board ?B
? Suildia lae eetor
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ----?-?:-?d??..,iU?:.?f!.?..p..,,..?¢<r.?<G?'' :..4f4.........
Addreca IPrecanil ....x/?...}?":./d^-"'??.._??<--?J _
Builder ............_. ..................
Addrsss ....
DESCRIPTION
N° 1806
Eagan Township
Town Hall
Dale
Storias To Be Used For Fxon! Depth Heighi Esi. Cosi Permi! Fee Remarks
-- ,C-
U -?-
---
-
---
------
-- - - - /e
-- - - - - -
LOCATION
52zees, noaa or omer uescnpnon ox a.ocanon I io:. I aioce I xamnon or iracx
qo
?,?,,,? ? o• a e, ?,?,?- -?? - 177 (S
--- _ ? ; z-
This permii dces aot aulhorise the use of sireefs, xoads, alleys or sidewalks nor does if give the owner or his agen!
the righi Sa exeaie any situafioa which is a nuisance or which presenfs a hazard fo the healSh, safely, convenience and
general welfare to anpone in the eommunity.
THIS P£RMIT MUST BEnK£P,rT? ON THE PREM/?IS?E WHILE THE WOAK IS IN PROGRF?SS.
This is fo cerfify, lhal...l.?........s..?or._.__.._hasparmission So erecf a.._.?z?.,?'t. ..s?.S-.?.."? ._ ..------ ......upon
the ahove described premise subjeci fo the provisions of the Building Ordinance for Eagan 'wnship a pled April 11.
1955.
......... ,?p,T _/?'?--?...._._._'._.__.. Per ..___.......,Ftr.? [?_._r....!_:l?
Chaiffnan of Tnwn Soard ? Building Inspeclor
4 • /'?
EAGEN TOWNSHIP
3795 Pilot Knob P.oad
St. Paul, Miane3oea 55111
Telephone 454-5242
PERMIT POR SEWER suRVrcE conanTPcTmri
DATE•
OWNER• C.92l'.X.[?-
PLUMBER
NCIMBER
Address Qa-ld-S yD6y?,,,??
TYPE OF PIPE
DESCRIPTION OF BUIIAING
Industriall Commerciall Reaidential Multiple Dwelling No, of units
Location of Connections:
Connection Charge
Permit Fee
Street Repaira
Total
Ihspected by:
Date
Remarks•
By.
Chief Inspector
In consideration of the issue aad delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Towmship, Dakota County, Minnesota
By
Please notify when ready for inapection and connection and before any portien
of Che work is covered.
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MASTER CARD
.
LOCATION
OWNER / /( a
STRUCiURE AND
LAND USED AS G'z r ? dd*h
Permii
No. I ?
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING ?I r -le?1 .DN1T
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANIiARY SEWER
OTHER
O7HER I
s
FOOTING
FOUNDATION
FFAMING
FINAL
Items
Approved
(Initial)
Dafe
Remarks
Distance From Well
SEPTIC
CESSPOOL
TILE FIELD FT.
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
. I Violations Noted
on Back
DEPTH
OF WELL
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
0
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTIQN
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUIIDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILI BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION
DATE OF REINSPECTION
CERTI FICATION - I cenify that I have carefully inspected the above in which I have no interest present or prospectrve, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
1-1 ALL IMPROVEMENTS ACCEPTABtY COMPLETED
U
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1r,
- c'ity of eagan
MEMO
T0: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS)
This memo is to intorm your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 ig
Block 3, Lots 1-11 11
BloCk 4, LOts 1-16 16
Block 5, Lots 1-25 25
BlDCk 6, Lots 1-22 22
Block 7, Lots 1-25 25
Block 8, Lots 1-5 5
Block 9, Lots 1-2 2
Block 10, Lots 1-23 23
Block 11, Lots 1-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15 15
208
7he City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
!t"zt
%?
Edward J.?i?'irscht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
. , PERMIT OR-0 557?Z5
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: suzLozNs
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 4 0 7
• (612) 681-4675 Datelssued: 04/30/96
SITE ADDRESS:
4064 AMETHYST LANE
LOT: 22 BLOCK: 10
CEDAR GRpVE 5TH
P.I.N.: 10-16704-220-10
DESCRIPTION:
9uil,ding-,.Permit 7ype
,`Building W'p.rk Type
? Census Code
/l G
?
.g+
?
pECK
NEW
434 ALT. RESIDENTIAL
_
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR:
OWNER: - applicant -
SAALBORN ROBERT
4064 AMETHYST LN
EAGAN MN 55122
(612)460-6771
T hereby acknowledge that I have read this a,pplicaCion and state that the
information is correct and agree to comply with all appJ;icable State of Mn.
? Statutes andCity_of Eag,an OrdYnances.
A LI ANT/PERMITE SIGNATURE ISSUED BY:ISIGNATURE'
.J
144oq CITY UF EAGAN 48 io
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construetion Reauiremenls Remodel?eoair Reavirements
? 3 registered site surveys ? 2 cropfes oF plan
? 1 coptes of plana (indude beam 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculationa ? 1 energy esleulations for healed add'dions
? 3 copfes of tree preServaNon plan if lot plaUed after 7l1193
required: _ Yes No ,
?
DATE: LI ;- CONSTRUCTION COST:
DESCRIPTION OF WORK: 9-1-01kQu-e?
STREET ADDRESS: y d b y 4 fvf?
LOT ??-- BLOCK 10 SUBD./P.I.D. #: ? nrI n7? ?j(,M}2 h?G -
PROPERTY Name: S,4 ft La rev ?G ?4e ri- Phone #: 43-2 -'VP
OWNER
l
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t Add
? 40
St
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wv A s
ree
re
7 -7 I ci{y: - - /ti Stete: 114, X,/ Zip- .2-2-
CoN7RAC7oR . Company: Phone
Stseet Address: License #:
City: State: Zip:
aRCHITECTI Company: A?- Phone #•
ENGINEEft
Name: Registration #
Street Address,
City; State: ZiP:
Sewer 8 water licensed plumber: /(/ /i . Penalty applies when address change and lot
change are requested once permit is issued.
i hereby acknowiedge that I have read this application and state that the inf mation is correcf and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY =2? Certificates of Survey Received _ Yes No Tree Preservation Plan Receive
d Yes No
P
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 _-plex
WORK TYPE
0 31 New ?33 Afterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length ?
Depth
? 11 Apt./Lodging a
? 12 Multi Repair/Rem. ?
0 13 Garage/Accessory ?
0 14 Fireplace ?
,,0'15 Deck
0 36 Move
? 37 Demolilion
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Planning
Building
.
•, 'W° p ,. ?,
16 Basement Fin)sh
17 Swim Pool
20 Public Facility
21 Miscellaneous
MGWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg ?
Census Unit °
Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Tvtal:
Valuation: $
°k SAC
SAC Units
;
-GI -
?- _
,_ ? n
f '
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.
SEVERSON,SHELDON,
DOUGHERTY & MOLENDA, P.A.
SUI'I'E 600
7300 WEST 147TH STREET
APPLE VALLEY, MAINESOTA 55124-7580
(952) 432-3136
TELEFAX NUMBER (952) 432-3780
E-MAIL bauert@seversonsheldon.com
TO: John _ r, Assistant City Engineer
FROM: Robert B. Bauer, City Attorney f?//
DATE: March 16, 2004
RE: Cedar Grove - 7uly Storm
Project 815
Our File No. 206-1 91 1 7
John,
Enclosed for the City's records in connection with the above-referenced matter, please find the
following original dacuments:
A. Drainage and Uklity Easement between Lawrence Glerum and Patricia
Gleruxn and the City of Eagan dated June 25, 2001 and recorded with the ?
Dakota County Registrar of Titles Office on, 7une 20, 1003 as Document
No. 503749 (Easement No. 931 ); !'U° " %" -' ` Q i,?-° e-
B. Drainage and Utility Easement between Andrew J. Brown and Patricia
Brown and the City of Eagan dated June 20, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503751 (Easement No. 934); i/?) o I 6>:.>:
C. Drainage and Utility Easement between Charles E. Bamey and Delva
Barney and the City of Bagan dated June 15, 2001 and recorded with the
Dakota County Registrar of Titles Office on 7une 20, 2003 as Docusnent
No. 503742 (Easement No. 935); ?Vo0-<' r - - = , _.. --
D. Drainage and Utility Easement between George L. Hunnel and Debra K.
Hunnel and the City of Eagan dated June 14, 2001 and recarded with the
Dakota County Aegistraz of Titles Office on June 20, 2003 as Document
No. 503748 (Easement No. 936); yp ?q ?u
E. Drainage and Utility Easement between Robert L. Saalborn and Cazol
Saalborn and the City of Eagan dated June 13, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503746 (Easement No. 93 8); yp&q "e'-
F. Drainage and Utility Easement between Dennis Fischbach and Jacquelin
Fischbach and the City of Eagan dated June 13, 2001 and recorded with
the Dakota County Registrar of Titles Office on June 20, 2003 as
Document No. 503744 (Easement No. 939); yp ?
G. Drainage and Utility Easement between Gerald Albright, Jr. and Theresa
Albright and the City of Eagan dated June 13, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503747 (Easement No. 940); 7, H. Drainage and Utility Easement between Brent A. Bartsch and Kristen K.
Bartsch and the City of Eagan dated June 12, 2001 and recorded with the
Dakota County Registraz of Titles Office on June 20, 2003 as Document
No.503745 (Easement No. 941); !;,?a "0„?zf.?-
1. Drainage and Utility Easement between Bob J. Stein and Judy A. Stein
and the City of Eagan dated June 13, 2001 and recorded with the Dakota
County Registraz of Titles Office on June 20, 2003 as Document No.
503743 (Easement No. 942);
J. Drainage and Utility Easement between David J. Ryan and Caryl A. Ayan
and the City of Eagan dated June 12, 2001 and recorded with the Dakota
County Registrar of Titles Office on June 20, 2003 as Document No.
503750 (Easement No. 943); and /?7p I?sv nel,'a.r
K. Drainage and Utility Easement between David Efteland and Brenda
Efteland and the City of Eagan dated June 25, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No.503741 (Easement No. 945). 14Dyo Pr???+?ysf l'o-z
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DRAINAGE AND UTILITY EASEMENT
THIS EASEMENT, made this t? 3 day of , 2001, between
ROBERT L. SAALBORN and CAROL SAALBORN/ 'a to as "Landowner"),
and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of
Minnesota, (hereinafter referred to as the "City").
WITNESSETH:
That the Landowner, in consideration of the sum of One Dollaz ($1.00) and other good
and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does
hereby grant and convey unto the City, its successors and assigns, a permanent drainage and
utility easement, over, across and under the following described premises, situated within Dakota
County, Minnesota, to-wit:
A permanent drainage and utility easement over the east 10' of Lot
22, Block 10, Cedaz Grove 5.
The grant of the foregoing permanent easement for drainage and utility purposes includes
the right of the City, its contractors, agents and servants to enter upon the premises at all
reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains;
and the further right to remove trees, brush, undergrowth and other obstructions. After
completion of such construction, maintenance, repair ar removal, the City shall restore the
premises to the condition in which it was found prior to the commencement of such actions, save
only foz the necessary removal of trees, brush, undergrowth and other obstructions.
And the Landowner, its successors and assigns, does covenant with the City, its
successors and assigns, that it is the Landowner of the premises aforesaid and has good right to
grant and convey the easement herein to the City.
RECFI\iED
JAN °' i 203
?..?.? i:. ,,
raFneva€a-woiroa
IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed
as of the day and yeaz first above written.
Z 4 ?'j z ? ?
WE T L. SAAL ORN C^
CAROL AALBORN
STATE OF MINNESOTA)
)ss.
COUNTY OF )
The foregoing instrument was acknowledged before me this ]IA\,\ day of
2001, by ROBERT L. SAAT.BORN and C OL S BORN, husband
Not Public
APPROVED AS TO FORM:
RUECHTL
?o fVOTARYN-WNNE?TA
JAMES NY31,
MY COMMON IXPIRES
JANU2005
.?_=--v
Ci
ty Attomey's Office
Dated: ci/i6l6/
APPROVED AS TO CONTENT:
P ic Wor D artment
Dated: /2-?
THIS INSTRUMENT WAS DRAFTED BY
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Valley MN 55124
(952) 432-3136
(Easement i9938)
(206-19117)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114812
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 4064 Amethyst Lane
Lot:22 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-220
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Miranda M Del Fiacco
4064 Amethyst Lane
Eagan MN 55122
Bear Lake Builders
6407 Quinlar Ave SW
Cokato MN 55321
(320) 286-4455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153835
Date Issued:01/25/2019
Permit Category:ePermit
Site Address: 4064 Amethyst Lane
Lot:22 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Miranda M Del Fiacco
4064 Amethyst Lane
Eagan MN 55122
(612) 360-0280
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177018
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 4064 Amethyst Lane
Lot:22 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-220
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Miranda Marie Del Fiacco
4064 Amethyst Ln
Eagan MN 55122
(612) 360-0280
Midwest Egress
10000 Abbott Ave S
Bloomington MN 55431
(612) 889-2763
Applicant/Permitee: Signature Issued By: Signature