4565 Greenleaf Dr WCITY OF EAGAN Remarks
Additian n-Q,4?a. th QAks Lot Blk
Owner Street 4565 Greenleaf Dr.
a,.k+..?. ?-
Improvement Date Amount Annual Years Payment Receipt Date
' STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK s 1984 ?r0.00 24.67 1
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATEA AREA
STORM SEW TRK 1984 617.00 1.1 1
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN,
BUILDING PER. #3605
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
SITE ADDRESS:
?'-11111t i1F1K.s
1.1l1 : 1 kil.rirl
t;{tF?r NI t A f (ik GJ
PERMIT SUBTYPE:
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
, APPLICANT:
TYPE OF WORK:
{)i .i 1: i ? 1 f t?i4
lttf I t 11 1 hlss
Ry:?41 ri 1 N
?
(1f.liVRt 11
AL S[1 tJf C4/:E:il4Y 14I IVfft]t.t
INSPECTION TYPE DA • DA
! t1f"h1+4irKSr 'SF:.F'AkAl.k F 1 F{. fkrflt. !'l {6M i 1 f+'f t) l!)p:t=1?
?
F
? _J
Pe?mit No. Permit Holder Date Tsiephone S
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commertts
Footings I
Foundation
Framing
?
/L /L a 9 s ?c
Roofing
Rough Plbg.
Rough Htg.
Isul.
Rreplace
,
Final Htg.
Orsat Test
Fnal Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ?
. -?
Deck Ftg. - '
Deck Fnal ?
/ll APjf `jhS OF ?MC
? rs o
weu ?K- O? ?'tS ? • ?.Aif? •
p.
ff
?
w,A. I
?
CITY oF EAGAN
BLJILDING PERMIT
. ... ......... ?... ...... ........................ ...... ......................
Ownrs
Address (PrasanS) ......: ......
Builder
........... ........... -° `---"-' -----'--_ ?-` ............:.......................
?. Addrese ..........................................................................
....................
DESCRIPTION
..,
N2 3605
3795 Pi1ot 8nob Road
Eagan, Minnesola 55122
454-8100
Dale ?
.... . . . . . ... ...............................
5tosiea To Se Used For Fronf Dapth Heigh! Ea2. Cos! esmi! Fea Ramarks
il
" LOCATION
Streei, Aaad ar aiher Deseaiprion of Location I Lo! - Slock Addifion oi Tsae!
This permif does nof aulhorise the use of sireelc, roads, alleps or sidewalks nos does it give the owaes o[ his agea!
the righ! 2o creale any siluafion which is a nuisance or which preeenls a hasard !o the 6ealih, eafely, aonveateaca aad
general welfare 3o anpone in the eommunifp.
THIS PERMIT MUST BE ?EPT QN H$ PREMISE WHILE THEWORK IS IN PROGAESB.
This is !o cerh
'fp. "? A{ .. ?hae permisaion !o erect
lhat.....? .............. .._. ............... ,4......?...........:.. ...f-••°--°?.°..._npan
a.. h
the above descrihed premise subjeci !o the provisions of all appliaa6le Ordinances for the Cif? of Eaiian,
? . ?7
...........................'--r-'?'J'--------.............. ..... Per ....................... 1
'_."_"" """ .....................""'.......................
Mayor BuSlding Inspaclos
YS
clrT cr !:ae&t
3795 _-_=ct i4:oc P,oad
i:ag:n, I_i:,±:esota 55122
FERMIT T.;O.:
The City oi Eagran hereby grants to nu,ld 7ahncon
o_° 4158 Rahn Roaa - 71Pt. 7
a Pr.nnttil".c. Perr,it; for: (Os.mer)
same
at, 9565 W. Greenleaf Drivc, r:ursuU:t to applicatior- dated 7/24/75
Pee Paid: 520.nq dai.ed tl-,i; 25 day of
.50 s/c
.7u ly
1<) 75
r _
buildi::g Inspector
i,echanical Permite:
Bid iotalc
I !-J q
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, P?'.innesota 55122
PERMIT NO.: 741
The City of Eagan here6y grants to Donald E. Johnson
of 4565 w. Greenleaf Dr.
a FTEATING Permit for: (O-aner) same _
at 4565 W. Greenleaf Dr. , pursuant to application dated 10/1/75
Fee Paid: $20.00 dated this 17 day of Oct. ,.1975 _
.50 s/c
Building Inspector
Mechanical Pcrmits:
$i(1 7'ota 1:
5_s"-4?" RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reaui(ements
• 3 registered v:e surveys showirg sq. 4. of'oL sq. fl. of house: and all roofed areas
(20°o maximum lot coverage allowed)
• 2 copies of plan showmg heam 3 window siz=5; poured found desgn, etc.)
• t set of Energy Calculations
• 3 copies of Tree Presarvation Plan iF lot plaCeC a(ter 7i ll93
. Rm Joist ^etad Options selection sheet(tlegs wuh 3 or less units)
DATE y?-15^
_ Water Soltener
_ Water Heatcr
No. of 13atlis
SITE ADDRESS y'5?65 GJ MULTI-fAMILY BLDG _ Y 1-jN
TYPE OF WORK l-(^1) ? Re/ -r- FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT /?k•Sfu?., kcc'pnG
? STATE <l SSyr/?
STREET ADDRESS `I 700 / 3? Ar,r fi/ GTY lm
TELEPHONE # 763 --V/ "d00'I CELL PHONE # FAX #
PROPERTYOWNER De;'l ?Ol'1i75C/7 TELEPHONE# 6
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ N[IN\t;S<)"CA RCLk:S 7670 C:1"1'1:G0125' I MIVVk:SO'G\ RliLI•;S 7672
(d submission rype) . Residential Ventilatlon Category 1 Worksheet Su6mitted • New Energy Code Worksheel Suhmitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includcs:
Mechanicol Contractor:
Mcchamicsil svslcm includc;:
Sewer/Water Contractor:
Phone #
Phone #
I hereby acknowledge that I have read this application, state that the informai
with all applicable State of Minnesofa Statutes and City oF Eagan Ordinances
Signafure of Applicant
OFFICE USE ONLY
RemodellReoair Reouiremenb
. 2 copies o( plan
• 1 sel ot Energy Calculations for heated aatlitions
• 1 site survey'or extenar additions & decks
• Indicate if home served by se0tic system for additions
VALUATION y -7 a5'
Phonc #
Iavm Sprinkicr
No. of R.I. Baths
-- :1ir Condiuoning
-- Hcat Rccovciy Sy,lcm
Fee: $90.00
Pce: $70.00
?rect ? aA agrWe
SEP 0 3 2002
?
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4565
SOUTH OAKS
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
LOT: 1 BLOCK:
GREENLEAF DR W
PERMIT SUBTYPE:
SF PORCH
APPLICANT:
4
JOHNSON
(612) 452-2590
TYPE OF WORK:
DESCRIPTION
BUILDING
020610
04/29/93
DONALO
E
NEW
ALSO DECKjBAY WINDOW
INSPECTION
FOOTIN6 .. .
FRAMING .•
INSULATION FINAL
REMARKS: SEPARATE EIECTRICAL PERMIT REQUIRED
?
? ?? , i
. PERMIT
CITY OF EAC.wAN ° X-,
3830 Pilot Knob Road PERMITTYPE: suiLozNs
Eagan, Minnesota 55123 Permit Number: 020810
(612) 681-4675 Date Issued: 0 4/ 2 9 J 9 3
SITE ADDRESS:
4565 GREENLEAF DR W
LOT: 1 BLOCK: 4
SOUTH OAKS
P.T.N.: 10-71200-010-04
DESCRIPTION:
ALSO DECK/BAY WINDOW
Building Permit Type SF PORCH
Building Work Type NEW
Building Length 20
6uilding Width 8
. . -. ... . _._ ._ . . ?:.,._ .,
REMARKS:
SEPARATE ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VALUATION $10,000
Base Fee $117.00
Surcharge $5.00
Total Fee $122.00
CONTRACTOR: OWNER: - Applicant -
JOHNSON DONALD E
4565 GREENLEAF DR W
EAGAN MN
(612)452-2540
I here6y acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes end City of Eagan Ordinances.
?
?
APPL ANT/PE 11 TEE SI NATURE ISSUEO B SIGNATURE
-1
REACTIVATE =
PEkMIT !i . •
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION ApR 2,3
Rfcp
681-4675
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specif9cations, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request 1s made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date R L /6) 3 / 9.? Yaluation of work '?S D 66,
Site Address: ?Z? CoG Lb G rLoe?f fee4 1.7r .U
STREET SUITE M
Tenant Name: (commercial only)
LOT JJ BIACK ? FSUBD. P.I.D. 1f
Descri tion of work: J? ec- ?C 3 cSev S a i1 r c
The applicant is: "ner ? Contractor ? Other (Deseribe)
Name ?6krt-sd ti d7 0?-+ cL )cl ? Phone 4? 5.p -?Sv a
Property LAST FIRST
Owner Address (95 Lcl GYEGh le Q-? ?Y fiA 6.4 .U /A IU 65?? Z
STREET STE Y
City -E ik GA.AJ State /4'IA) Zip S? 1?3
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comp ith all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant:
G
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 foundation 0 06 Duplex ? 11 Apt./Lodging
13 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory
JR 04 SF Porch ? 09 12-Plex O 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
g 31 New ? 33 Alterations O 35 Tenant Finish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS A L5 0 32 X/ y? D?Z.AC AA/:? w//"a w 134?
? Site Footing Xframing 0 Insulation
? Wallboard ?Final ? Draintile ? Fireplace
Permit Fee 00 voiuas;p,: g J d t? ??
Surcharge .S, vo
Plan Review
License ?
Zv PUn.t4-f
MWCC SAC
City SAC
Water Conn. n
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment Pl. ???rv/ ?
Road Unit ?F'--
Park Ded.
Trails Ded.
Q D ?
Copies
Other
Total:
SAC %
SAC Units
`I? j>D D
?
W.Esr ?G R4E?J???F,
SI?'E :`tC.A AI_ .PbR.,
,
.
, ? ? J5 I!
- -- • - , _ ;- - - - - - ?- - , _? . - ? - . .- . -
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.
Tp
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33.? f __ _ . .__ . ?. . _ . . _. .. . .
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_:Z f ? _154
-- - -- -- - ? ? ?-- ? - i- - ;
?- ,
.. ?- - - - - - ?- - ---Aj_ __
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;
- ? -- ? - --- ? - • -J- - ' fl"°? ? ` , . _ ? ? ; _._ _t . , w. , _ ? . . . , _ _- --
__ . - - lo Or- LaT G:n ?' -
70 t cK. $, Tr??t??, SEA-SV.A! Po?cN _ . ?,uT4l. ? r- _oN ikiA Z v 9 Al,z C3 4) •
??
c. FA- 6 A N M,# S 51 a 3 G R fFlJ e-E RF T?. R
CITY USE ONLY
? BL RECEIPT #:
ISUBD. RECEIPT DATE:
1997 PLUM$INfi PEfiMIT (gESIDENTIAL)
crry oF ensAN
3830 Pv.or KNos ftD
fJ4Hl4N, MN 55128
(612)6$1-4675
Please wmplete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shawer 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
p 3.00 x =
?
?Jete?YH` ?? . 3.00 x i =
r-ioor ram 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construdion 5.00 X =
W2tBf SOREnBf " for existing dwalling 20.00 X
U.G.SprinklEf 'fordwellingunderconst 3.00 =
U.G. Sprinkler ' for existing dweiling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE .50
0
OKID
TOTAL
------•---------------- ----- ----------- ------- ------------------------- -----------
- -
-
- -egree - to - comply - wRh - all - applicable Ciry of Eagan ordinances.
I hereby adcnowledge that I have read ihis applipGon, stste that the information is cortect,-and-
It is the applicant's responsibi8ty W notily the property owner that the City of Eagan assumes no Iiabilky for any damages caused by the City during Its
nortnal operetional and maintenance aclivities W the facililies conslruded under this permit wkhin City DroOenY/right-0f-wayleasemeM.
SITE ADDRESS: / S7 (.; s- L) L9 Y ?-' c° h
OWNER NAME: ? ie v14 )j F. ? ') 4 h < ? ?
1 0 n 4 G? ?. ?? ?t2S et, TELEPHONE#: 5?5?"? Syc)
INSTALLERNAME: ?p
STREET ADDRESS: k' Zc' -?; L? . ? yP t' /a hz?a f D Y
CITY: C? STATE: AV ZIP:
Q?? F
SIGNATURE OF PERMI E q .
CD/FORMSlPLBG PERMIT (RESIDENTIAL) 1997 /
? 91?- GR<4.o,./ A4444rNo.4) GuA 4-zi4
MASTER CARD
??,16
STRUCTURE AND
IAND USED AS
Permit
No.
issued Issued To
Coniractor Owner
BUILDING *1 P 0x r?
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
NEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Disiance From Well
FOOTING V SEPTIC
FOUNDATION CESSPOOL
FRAMING ? TILE FIELD FT.
FINAL
ELECTFiICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION ?-'--'-F?
SEPTIC TANK 7
CESSPOOL
DRAINFIELD
PLUMBING
WELL ?
i
SANITARY SEWER
-
?
' Violations Noted
on Back
COMMENTS: - ' /
--
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Use BLUE or BLACK Ink
r----------------�
I For Office Use
� -�j I
Cl6Ol �� �11 j Permit#:� ��� �� I
y � , —7 �
� Permit Fee: � / � - �� �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 �� )��/.,�� � (�G �� �� L Staff: ———————————I
l C� a � �C�G'a'l r
2015 RESIDENTIAL PLU BING PERMIT APPLICATION
Date: J�– �3`"�Site Address:_�J" � _� / ��/�G7 �f�� � i� �
Tenant: � �CS� �� Suite#:
Resic�en#�C)Ya/�a£r ' Name: ��-��,J�}l[�, .��(�Ull� S��` Phone:
Address/City/Zip:
~' Name: ILJ License#:
�Oitt�'�C�01' Address: �(�� �`7 � �� : City: '
� State: / ' �� Zip: ��� Phone: (��� "' `�� "� ��5 �
Contact: �.� Email:
T�/�e O�1�1�!'k —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: j -�- �i � ��
� RESIDENTIAL �� Ci
� g� � �����.
Water Heater / p
Lawn irrigation(_RPZ/_PVB) Water Softener
��/�� �
P��������e Add Plumbing Fixtures(_Main/_Lower Level)
Septic System
New Water T rou
Abandonment 1' �V r �, �
V�
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment,Water Turnaround*(includes State Surcharge)
''Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic Svstem New(includes County fee and State Surcharge)
TOTAL FEES$ � ��• ��
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.orq
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, and work is not to start wit ut a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X �f� X
App icant's P mte Name Appli n ' ignature
�0�2�FFlCE`USf Rev."aewe�i By: �a#e:
Req"uired Inspections: Under Ground ' Rough=ln Air Test Gas Test ` Finai
Meter Related Items: Meter Size Radio Read Manometer Sfiaff:
Use BLUE or BLACK Ink
r----------------^
I For Office Use �
� � I
� I
• � Permit#: r�� � �
C��� O� ��b�� I Permit Fee: ��/ "�� �
3830 Pilot Knob Road I �
Eagan MN 55122 � �
Phone: (651)675-5675 I Date Received: �
I
Fax: (651)675-5694 � I
� Staff: �
�-----------------�
2015 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
/ / / F�R�'N�� U��{��1��� v
Address: `"7�cp� �'�2�� ��f�� �f�
��('�'�� _���'�►�� ,,.�,i�R�requ i red ����:
Property Owner: ���������
// ,/ � c��y�-o�w��r��t
Phone: �D�� " `t��- "o��`��ontact Name: �'�- �
n �^ a ��" C�U�,ty R �W P��It
Plumber: --��R�,I.�F"GZ- �" �l.C.�1'11U���'I � �C'-�✓z� �
,,,,�,P�umbir�g F'erm��t
����: ,.: ��� �
,.,. <
,...5�'�V'ER ' �11�'ATER . : "
S wer Service er Service '
Se lateral charge Water ral charge ',
Sewer tr Water trunk ,
City SAC @$10 Water Sampling I
MCES SAC ae$2,485/uni Water supply storage ��
Receipt#: , Da . Receipt#: , Date. '
Permit Fee, i es State Surcharge $65.00 Treatment PI @$843.50/unit I�
TOTAL: Permit e, includes State Surcharge $65.00
' *Plumbing Permit Required—water meter to be
acquired with building permit TOTAL:
s ; ..:
,
`�'r��� ±�.��T�� ' ' ,' f:
_ - . -.F..: ���.,. . �
Sewer Service �,,� a��
Water Service y
Sewer lateral charge '�
Water lateral charge `'�
Sewer trunk `�
Water trunk �- ,�'� ��
Water Sampling Fee \ �,S'tij
City SAC �'� ��, ;��„�,
MCES SAC "
Receipt# , Date
Water supply&storage /J1A
Receipt# , Date
Treatment plant �S'y3.�
Permit Fee, includes State Surcharge $125.00
'Plumbing Permit Required—water meter to be
acquired with building permit TOTAL:� �(,����'a
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateanecall.org
Cc: City of Eagan Finance Department
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152262
Date Issued:10/05/2018
Permit Category:ePermit
Site Address: 4565 Greenleaf Dr W
Lot:1 Block: 4 Addition: South Oaks
PID:10-71200-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Donald E Johnson
4565 Greenleaf Dr W
Eagan MN 55123
(651) 452-2540
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature