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2025 Emerald Lane öëö ðîü ÿ þýý ðûðûü úýýï è äò Ü ì àä þýö þýüûúùîý ûúùöø ùîý Þý ù ô ïý ô ëýü ã ÿþ ù ÿ ý ä öë ú ó ëøúñ ã ôîáõùô ßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ÜÛõúýôü Ýó öúó ô ó ëøúñô ý ìãöññ ãö áäßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý CITY OF EAGAN Remarks * Cedar GRove ACqulsltdOn Addition Lot 14 Rlk 9 Parcel iA 7 b7An 140 []9 Owner "+ V?CL V?(, Street 2025 F]nerald Lane 5tate Eagan, MN 55122 ULV- rr? 5 Improvement Date Rmount Annual Years Payment Receipt Date STREETSURF. 1985 1266.95 84.46 15 1266.95 C009359 9-4-84 STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1.304.00 52.16 25 Paid WATERMAW * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK -_? Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? I 10. Desaibe Fuel Type 1 11. No. Equioment BTU - M. Ea. Forced Air - No. EquiPment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Insp. Inspections: Date Insp. Da#.?? This is your permit when numbered and approve Approved CITY OF EAGAN 454-8700 CITY OF EAGAN 3795 Pilot Knob Rood Eugan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Site Address. Lot Porcel ?' - ae Name iuyu :_. iiar!.;: ? ?t125 rsnerp-l,? I-... '- , Address -- "e?''an, '. 0' Nome _ 0 ?u Address ? r;... I hereby ocknowledge that I have read this application ond state that the informotion is correct and agree to comply with all applicable State of Minnesota 5tatutes ond City of Eagan Ordinances. Receipt # N2 6190 Erect Occupancy Alter ? Zoning Repair 0 Fire Zone Enio?ge ? Type of Const. Move ? # Stories Demolish p Front ft. Groae o oepth n. Approvob Fees Assessment - Woter & 5ew. Police Fire Eng. Planner Counci f Bldg. Off. _ APC Permit Surcharge Plan check SAC Woter Conn. Water Meter Road Unit Total Siynoture of Permittee I A Bullding Permit is issued to: on the express condition that oll work shnll be done in accordance with all applicoble Stote of Mlnnesotn 5tatutes ond City of Eogon Ordinances. Building Official ??ewM # Dat? luu?d ?asNf» Plumbing Mechonical ? INSPECTIOIVS DATE INSP. I Rouglrln Finol Footings Dofe Inso. Date Insp_ Foundation Plumbing Frame/ins. Mechonicol Firwl r -- ?-- -- c a. Y t Remorks: . o-.,,c%P,a??<•,.- -?d.u? INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: ',it Iliffli i I 3830 Pilot Knob Road Permit Number: ? sY'''i Eagan, Minnesota 55122-1897 Date Issued: ? 4 ' .' • ? ' ? H (651) 681-4675 SITE ADDRESS:? APPLICANT: ? ;i ; ?? :•i ,?? ? 'tiI itill 11 I i;IVi f IiAli [iFrUVt- Ik1 1i1 ) 4F4--644 ' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. • DA 7-7 I I F- 7 ? I L t Permit Holder Date Telephone IF SEWER/ WATER PLUMBING HVAC Inspection Dete Insp. Comments FOOTINGS FOUND FFiAMING ROOFING `?/Slf FOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC MEfER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL OFFICE USE ONLV This reqoesl wid 18 monlhs 6om wlidation dale printed in Ifiis box. Hi+//I /1 - Ill?lflll?ll?llllllllll llllllllllll illlllli??-?4? ?-'Y? / * 0 4 4 3 1 3 4 2?K pLEASE PRINT OR TYPE Q Req?esl Dare . ., ?? RoigMn inspacnan req?iredz ? yes ?1'ou musf mll Iha inspecror when reody? Inspecllon qher Than RagMn_ .J?icady Now 0 Will Call Wta Ready: I, ?ed contmcTOr 0 owner here6y request inspection of fhe above elechical work ot: Job Address (Sheet, Box, or R.W. No.I ?Y? Gy Zip Cade Se:tion Na 7ownship Nome o. No. Ronge No. Fire No. uny Occupam pk N P. Siliplier Address Eleelricol Conhacroi (Cam ny Name) Goniroaw License No. Qoot7Vo <7 Master lk. No. ?%anr Eletl. Onlyj Moi ng Ad ress lCOnhacror or Owner Pe /ing ?Ins^bllal?ion ^ W,?W? ANMrized Signah.16 Conhacror or Owner Per(ormi?g Inshllanon ? tl/? STA7E BOAPD COPY - SEE INSiRUCilONS ON 6ACK OF YELLOW CAPY LI 4f/, z/9-7 44 j134 12 REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity 1821 Universi[y Ave., Rm. S-128, SL Paul, MN 55104 Phone (612) 642-0800 ome Duplez Apl. Bldg. Other: New Addn Co ercial Indushial Farm I Remod Re ir ir Cond. Htg. Equi . Warer Hh. Load Mgmt. pther: Dryer Range Elec. Heat I Temp. Service °X" above the work covered by this request. Enter remarks in ihis spoce and on the back oi fhe while copy only. V Calculate Inspecfion Fee - ihis Inspeclion Requesf will not be accepted wiihoul the mrrect fee: O[her Fee # Service Entrance Size Fee N CircuAs/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 t0 100 Amps Sfreet Ltg./Traffic Sig. Above 200_Am s Amps Tmnsformer/Genemror INSPECTOH'S USE ONLY TOT ? Sign/Outline Ltg. Xfmr. r Alarm/Remote Conhol $wimming Pool i hera ceni ihat ' tA t W.H. 'de.?ribed herem o? ihe dare, ?mred Irrigation Boom RougFln Dare ecial Ins e?:tion S p p Investigative Fee Final Dare THIS INSTALLATION MAY BE ORDERED DIS ECTED I T C ETED WITHIN 18 MONTHS. CITY OF EAGAN ? -' 3795 Pilof Knob Rand Eagan, MN 55122 N2 6190 PHONE: 4548100 ? ??J? BUILDING PERMIT APPLICATION Receipt # ? To 6a used fer GARAGE Est. Value 1,500 Dme 9-19 , 19-8Q-_ Site Add ress 2025 Emerald Ln. erect ? Occupancy Lot ? 1(` Block9 Sec/Sub. Alter ? Zoning Parcel # - - ?? ? (D?0c) iq o Repair ? Fire Zone Enlorga ? Type of Const. ? Nome FlOYd A. HaTRtS Move ? # Srories z z Address 2025 Emerald Ln. Demoiish ? Front ft. b C_ Eagan, Mn phone4 4- 44 Grode ? Depth fr. ? ADDrovals Fees Name o ?,'.e-- ?< Address Assessment f Woter & Sew. Ci Phone r Police Fw Name Fire Addreu Eng. <W CI Phone Plonner Council I hereby ackrawledge that I hove read this application and stute that Bldg. Off. the informotion is wrrect and agree to comply with ull applicable StaM of Minnesota Statutes and City of Eogon Ordinontes. APC PermiY 7 • vv SurcFwrge 1.00 Plan check 4.50 SAC Water Conn. Woter Meter Rood Unit Torot 1/+.50 Signature ot Permittee I A Building Pertnit is issued to: F'I O3ra a HA1'TIC on the express condition that all work sholl be done in acwrdancgjwith all ap,pljwplP Srote of Minnewta Sfatutes and City of EaBan Ordinonces. Building Officiai CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & ? BUILDING PERMIT APPLICATION 1 set of energy calculations. f? - 7b Be Used For 6-4 v$4@6 Valuation f? $-0 0• Date Site Address: ??35 rd t-d L.a rt-- OFFICE USE ONLY I,ot Bloclc ? Sec./Sub. Erect Occlipancy Alter Zoning Parcel #: Repair Fire Zone Owner: /.?al ?'w+5 Enlarge _'Iype of Const. -? ove # Stories Nl Paiclress: ?rs1S rv.,er.141 d-a -P Dmnlish _ Front ft. Grade Depth ft. CitY/ZiP Code. '??a rv7 r'n ., ,-"j 5 1,27c- J Phorie # : -k4 rj1 -=iAl L{ 1a APPROVALS FEE'S Contractor: Address: City/Zip Code: Phone #: Arch./Eng. _ Pddress: City/Zip Cade: Phone #: Assessments Pernut ?P' ,., 4' Water/SEwer Surcharge , 4, ,q ,v - Police Plan Check ,,- Fire SAC Ehg. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. _ APC /q ? =AL EAGAN TOWNSHIP IILDIIVG PERfNIT, Ownet CG ----- k!.!!!!!l. ?._ Address (Preseni) ------- p------------------------- --------..--------°° $Iil1d0! _"'_'""_........f..T.?r?f?..?..?.(.................. ................ __"_" Address --------- --.._-----------°-------------.. ..----------- °--------------- N° 360 Eagan Town_hip Town Hall '/fy Daie ..- -----?-?- .44? -^------ Sfories To Be Used Fos - Front I .Depih Height Esi. Cosi Permil Fee Remarks - _ ,,. ?? _ LOCA1ION - ? This permit does noi aufhorize the use of sireels, raads, alleys or sidewalks nor dokiY give !he owrar or his agenf the righlSo create any siluafion whfch is a nuisance or which presenis a hazard !o the healih, safety, convenience and geneFal welfare !o anyone in She community: THIS PERMIT MUST BE?EPT O THE PR ISE ILE THE WORK IS IN PAOGRESSr ,? This is fo eerSify, ?'?;(?,-has permission !o erec! T--na_ `1?fc:.lF`.v-?:'?' .' upon the ,?l ._`?c._.__ _....... 55!lvp dgs¢ri]yed pr , 7 ??e provisions of the Building Ordinance for Eagan Towe?a?p asiop_ed -April 11, 9 V , / ? . ? ?-- - - ? - ----..,. - Per ---- ------- ..--`-------_._........._.---....__._:-----.._._ ....... . ..... ..... of, o Board - Bssilding Inspeclor EAGAN TOWNSHIP BI.BILD11l9G PEIaMIT _ Ownee -- ?dl -----'..__...'--- "'-'--"------'U--"---? -'------? j? "-- -- Address (presen!) .._? U a.r._.??_ I Builder ----.:"..5----,`/--`--?..rn--_......?'j................................------------ Address ......... „""y"?/. '_`--""_-'--"-.s..r------ . N° . . 784 Eagan Township Town Hall Dale Ao - Zl - C°/ ............ ""'__"""_"_ Siories To Be Used For Fsoni Depih He:ghf Esi. Cos! Permi3 Fee Remaxks i? ?? 2 Z? 7? ?`J/ ?/??'?`U/_ L/ " LOCATION Slreef, Road or other Descr?pfion af Loeation I Lo} I Rlock I Addifion ar TracS I/?/ I'2;?ft I (:y ?w / This permii does nof auYhorize the use of slreels, roads, alteys or sidewalks nor does it give the owner or his agenf the xighf fa ereaie any siluaiion which is a nuisance os which presenls a hazazd 2o the healih, safeiy, eonvenienee and general welfare fo anyone in the eommunity. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGAESS. This ia fo cerYify, Shaf..- -""'-- ?? -------- ??Y?'"?'?-" • ------- has permission fo ereel a _._..--------- upon '-'- - --"' ................- the above described pre ' e subjeci?lo !h? provisions of the Suilding Ordinance for Eaga ?ownship adopted Apxil 11, 1955. ------------ -- ?- --...---- --...........---..- ---. Per t - ..........-----'---------__... '_....'---'------'-'...---- ._------'-...-- `-....--`-'--- --- ?°-- Chairman of Tnwn Board l Building Inspector ? PLUMBING (RESIDEN'fIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permiu are required for each unit I!, 15 - so Date Unit# SiteAddress °zDa.? ?rfrp/e/d(j/ 2/e-1ye, Property Owner Telephone # Contractor Address ? ?. City State Zip Telephone # The Applicant is _ Owner ? Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC Iicense $ 100.00 Indudes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 _ Adding fiMUres to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system ? Water softener _ Water heater $ 15.00 ?replacement _ additional State Surc6arge ---- $ .50 ; ? Total ? I $ I hereby apply for a Residenrial Plumbing Permit and aclrnowledge that the rmation is complete a4id' be in conformance with the ordinances and codes of the City of Eagan and th the Plumbing Codes; tL pemut, but only an application for a permit, and work is not to start withou a1;?at-t-wotk;..wg approved plan in the case of work wluch requires a review and approval of plans. ?O Q Applicant's P inted Nam A p icanYs Sigc e ;curate; that the work will I understand tlus is not a be in accordance with the PERMIT# l ? RECEIPTDATE: Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: EOOE MIDENTIi4L PLUM$IRfi PERM1T AP'PLICATIOR crrY og EAtiAx 3830 PuM Kxos ftu EA6M.1HlY 55122 651-691-4675 APR 2 2 2002 rl single family dwellings, townhomes and condos when permits are required for unit, HARMS,FLOYD 2025 EMERALD LANE EAGAN, MN 55122 (651) 454-6446 TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) CITY: MINNrwon?c•, ?? N ee40e STATE: ZIP: ?v _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 Countyfee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installationlrepairlre6uild $ 30.00 _ lawn irzigat+en system ReplacemenUadditional: _ water softener water heater $ 15.00 State Surcharge $ 50 Total $ I$. s0 I herebyaGcnowledge that I have read fhis application, state thatthe information is conect, and agree to complywith all applicable City of Eagan ordinances. It is ihe applicanYs responsiblliry W notify the property owner that the City of Eagan assumes no liabiliry for any damages caused 6y ihe City dunng its normal operational and maintenance activides to the hacilities constructed under fhis permit withi " pr erty/rig-way/easement. r S E OF PERMITTEE 1l02 PERMIT GITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: BuzILorNG PermitNumber: 033959 Date Issued: 10/ 2 9/ 4 8 SITE ADDRESS: 2025 EMERflLD LANE LQTa 14 BLOCK: 9 CEDAR GROVE #1 P.I.N.: 10-16706-140-09 DESCRIPTION: ,_1.,.._.. R E R O O F E3uJ?l,ding-",['ermit '1'ype STORM [)AMAGE k3,?ailding 4J?itrk Type REPAIR C"ensu5 Cod'e "\., 434 ALT. RESIDENTIAL „ ti r_. - :?. .;ep.,.. , r{ 3 ??? L?., t\ ? f ? f?( 5 3,f REMARKS: FEE SUMMARY: CONTRACTOR: ? OWNER: - Applicant - HRRMS FLOYD 2026 EMERALD LRNE EAGAN MN 55122 (651)454-6446 T hereby acknaWiedge that Z have read thSs appiieation and state thst the infarrnation is correct and agree Co compl,y w3Ch 411 appiicable StaCe oT' Mn. StatuCe6 an.d C-tty of EagaYtprdinances.. APPLICANT/PERMITEE SIGNATURE fggUED 8V: SIGNATURE .? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ssso rII.ar KNos Rn - asiza l U, 3(} "? ? 681-4675 Naw Construction Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 eopies of plan • 2 copies of plans (inGuOe beam d window sizes; poured fnA, design; etc.) ? 2 site surveys (eMerior adddions 3 dedcs) ? 1 energy caleulations ? t energy ralculationa for heated additions ? 3 copies of tree preservation plan if lot platted aRer 711/93 required: _Yes _ No DATE: l C7 -? CONSTRUCTION COST; y?e-a n .n DESCRIPTION OF WORK: '4?? L'?f'-e sfi STREETADDRESS: a U o1S )E?- ?!7 6-0-zl--1- La" ':m LOT: P-1 BLOCK: I SUBDJP.I.D. #: Q -42? Name: ? ,;l r rn t ? /57Y ? Phone #: /71 -5- 'C} FROPERTY Last Fiat OWNER Street Address: a U aS )5 Ii ri P?Z L4 La Ciry Ea I c4n State: N? 1?n '} Zip: ? S J? 2 Company: Phone #: CONTRACTOR Street Address: _ License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wkh all applicabl State of MinnesoW 5tatutes and City of Eagan Ordinances. Signature of ApplicanC OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No , ' ?i Not Required L 1, / CITY USE ONLY '/ "f BL 7 ?+ RECEIPT#: z2ffs7 SUBD. 5`?0` ? ( ? RECEIPTDATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) ' CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete ior: . single famiy dwellings o townhomes and condos when permits are required for each unit New construction Add-on fumace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: s FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Addftional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL `J ? SITE ADDRESS: "- OWNER NAME: PHONE#: INSTALLER NAME:_ pl'@f@t'1'eCi Fleat111g & 81C PHONE 7643 Logan Avenue South STREETADDRESS:. Richfield, MN 55423 ?ITY: Bus:866-7611 Fax:866-0125 ZIP. _ -- -- -- - I i7 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use ~l~ C I Permit 3, I"+ City of EaEd~ /05 d_5 Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: _q &5 ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I ~I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: g6- F/i1 ~4A-) Unit - I j Name: ~C /-7L*4 ✓yt S Phone: Resident/ F~ D LN Owner Address /City /Zip: o24o_2S'_ Applicant is: Owner K Contractor Type of Work Description of work: K f - kPO F Construction Cost: / ! s_/ Multi-Family Building: (Yes / No Company: C I\ OO Contact: Address: City: f~~ IJ S L C. Contractor State: zip:. 33 Phone: d gad License -7 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.gopherstateonecall.oro 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 without 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x~~~ 5 ILS`7~s~} /vim x Applicant's Printed Name Appli nt's Sign re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163437 Date Issued:09/01/2020 Permit Category:ePermit Site Address: 2025 Emerald Lane Lot:14 Block: 9 Addition: Cedar Grove 1st PID:10-16700-09-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 or installing Bay or Bow windows, 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Nancy E Harms 2025 Emerald Lane Eagan MN 55122 (612) 636-5533 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature