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1866 Jade Lane Use BLUE or BLACK Ink For office Usei I I I Permit#: / Dtl I C~ City o Eapn Permit Fee: ~tJ CJ 1 3830 Pilot Knob Road 1 Eagan MN 55122 i Date Received: 1 staff. Phone: (651) 675-56TS 1 Fax: (651) 675-5694 INFLOW INFILTRATION PERMIT APPLICATION Piurnbing 1 Sewer & Water Dater r r Site Address: O t`? CAL Tenant: ) cilL Cr~t dSS- Suite t ^,:i ~j 3-mss Name: Phone: RESIDENT 1 OWNER / j Address ! City 1 Zip: Name: V,(-? Lo 0"It, License a a ~~(r( 4ti. q ( / Address. `-1. ~f 0 S`~ 5 city: t` f U<-C.~r'` (C y CONTRACTOR ll 5 i L State /V Zip: Phone: G ; I g [ k contact a r1 Email: t PLUMBING (Within the building envelope) SEWER 8 WATER (Outside the building envelope) TYPE OF WORK tSump Pump Repair Repair y I~ ? r ti Other: Other I ( I Description of work: DESCRIPTION e l 1 a L X -d C' FEES $55.00 f Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.ciNofeaaan.com/infiow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0402 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.org 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 a plication for permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the ;Ilcan rk which r uires a rev' nd approval of plans. Appficant's Printed Name Ignatwe FOR OFFICE USE Reviewed By: Date: I.•d LZLZ-Sb9-OZ£ J1H 'R nfl d ~:13AI2J MOJO e69:g0 L i. 86 Inf FPERMIT CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4272 PHONE: 454-81 00 i s- ? v <:; w II ?. '?_-tli,e Receipt # I Dnte 19 7 7 I Site Address ° °`''" `'" Lot Block 5? Sec/Su6. ['r ? Parcel # c: Nome Dc-?='L2 (-?f?r?-??Tn 3 Address %$bfi J;:_dG l..n ? City Phone f?54-3Q25 ? O " hlame : - -•: .,.t'?s, ? `? 4nk'? cABBt ? „ ¦ F- oU Address 13r. _ Assessment 529•6172 Water & Sew. Address I hereby acknowledge that I have read this application and st the information is correct ond ogree to comply with o!I ap Stote of Minnesoto Statutes ond City of Eogon Ordinances. Signature of Permittee A Building Permit is issu oll work shafl be done ir Building Official i Police Fire Eng. P4anner Council ate that gldg. Off, plicable APC Fees Permit Surchnrge • -?`'li Plan check I SAC Water Conn. ? Woter Meter .?Y _. TOtOi r- I to: j'eni? 'ior tor- or, the express condition that :cordonce with all applicable Stete of Nlinnesato Stotutes and City of Eacon Ordinances. EreCt [R OcCUpancy Alter ? ? Zonin-j Repair ? Fire Zone Enlorge ? Type of Const. ? Move ? # Stories M Demolish ? Front ft. ; Grade I-I Depth ft. ;? PamIY # DaM Inuad ParMltt" Plumbing Mechanicol INSPECTIONS DATp INSP. Rough-In Finol Footings 7 bate Insp. Dcte Inap. Foundotion Plumbing Frnme/ins. Meciwnical Final =-2 ? Remarks: CITY OF EAGAN Addition CEDAR GROVE #7 Lot- 3 eik 5 Parcel 10 16706 030 05 Owner `street _1866 Jade Lane scace Eaqan, NIId 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAOING SAN SEW TRUNK 5' 1970 $8.18 2.08 28 Paid * SEWER LATERAL 1971 20 WATERMAIN * WATERLATERAL 1971 1,615.00 $0.75 20 Paid WATER AREA * STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STAEET LIGHT WATER CONN, 260.00 3257 2-22-71 BUILDING PER, SAC 200.00 -49 57 22-22-71 , EAGAN TOWNSHIP BUILDING PERMIT Ownes -??./ ?O ' .....""...- - -D----- ......... ./...?...-...-°-...--......_--.-'.._......._..... Address (PIeseni) _ ........................... Buildar .... Addracs .. No 2388 Eagan Township Town Hall n8:e ..................... Slozias To Se Used For Fron! Deplh Heigh} Esf. Cos! Permit Fee Remarks l LOCATION ? or .3 3 This pesmit does not sulhoriae the use of sireels, roads, alleys ox sidewelks nar does it give the owaer or his agea! the righ! !o cseate any sifvaYion which is a nuisance or which presenis a hasard !o the heallh, safely, canvenience and general welfare fo anpone in the eommunify: THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PAOGRES .? Th[s is fo cerlifp. Shal...C ...... .... lt? ...... .'-...... ..'.j..^..`_.°?--has permission !o esec! a.c?. ... >of _. .._upoa .... - ?--- ----- ?-??---?--...--•---- - -.--...... the above desaribed premise subjee! !o the provisions of the Building Ordinanae for £agan Tawnship a opled Apsil 11, 1965. --°.--°°---........`.':.`..,.".' ....................... Per ------------------- .....`.C............CT...........u._............................. --...--._.. Chairdian of Tnwn $oard ? Buildin Ieu eclor ?i a. EAGAN TOWNSHIP BUILDING PERMIT 10 2556 ./ Owne: Eagan Township Addsess (P sen .......... ........t'+':t?. Towa HaA . Buildet ................ ........... ....------ --------------- . Det. . Addrese ...-.......... ....--------------- -------- ........................_......................... SSOSies To Be Used Fos Fsonf Deplh Haigh! Esf. Cos! Permil?Fee l Remasice ?i?//? ?.- ?-7 ? ? ?S? ?i LOCATION ,?? L , Sfseel. Road or olher Descrip!!on of LocalSon I Lo! Block Addilion os Trao! 1lfL LaU'z ?vs?,nr? l V J l-• l' 7 . L This perm does not au3harisa the uae of elreeie, roads, allepa ar sidewalks nor doas it give the owner or hia agen! the right to crea2e any sifuation which is a nuisance or whiah presents a hazard io the healYh, safely, eonvenienee aad general welfare !o anyone in the communify. THIS PERMIT MUST BE EP ON/fHE,? PREMISE WHILE THE WORK IS SN PROGRESS. This is !a : eeslifp, fhai ?....... ... ........haspermission fo erect the a6ave deecsibed pre ise subjec! !o the provisions of the Suildinq Ordinance fos Ea an Township ad !ed Apr11 11, 19b5. ? ? ?? _ ...... ...Q?jr.L_..:s..-,?...^..c.....----°-°---.._--.. ................ .:. ?...._...P........:. .....:........"-""'-- airman of Tnwn oerd BuSldin Ins ecior B ? .? ,3 -S= 7 C, G. TOWN OF EAGAli 3795 Pilot Knab F.oad St. Paui, Minn. 55111 PERMIT N0. 86. The Board of Supervisors hereby grants tcCedar 8rove Construetion Co. of 7343 Cdncord Blvd. E„ So. St. Paul 55075 a PLUMBING Permit £or:.. (Owner) Cedar Grove Construction ar 1866 .Iade Lane d. 4061 v..m,_.. .___, , pursuant to application datad February 17, 1971 , Fee;Paid: $40,00 Dated this 22nd day of February ? 1971 Building Inspector 3-5-7 . TOWN OF EAGAN 3795 Pilot Knob P.oad St. Paul, Minn. 55111 PERMIT N0. 78 The Board of Supervisors hereby grants to Cedar Grove Construction Co. of 7343 Concord Blvd. E. So. St. Paul 55075 a HEATING 3-5-7 3-3-7 ? Pezmit for; (Owner) Cedar Grove Construction at 1866 Jade Lane d 4061 Pumice Lane , pursuant to application dated February 17, 1971 , Fee Paid: $40,00 Dated this 22ad day of February _, 19 71,. Building Inspector / CITY OF EAGAN 3795 Piloe Knob Rood Eagan, MN 55742 ' PHONE: ?5700 BUILDING PERMIT APPLICATION F"a :.5w Receipt ? N9 4272 5668 To be used for Fpnce pate April 15, 19 7 1 Site Address 1866 Jade Ln Erect [k Occuponcy - Lot-IBlock$. _ Sec/Sub. E(`, ? Alter ? Zoning Porcel # Repair ? Fire Zone _ Enlorge ? Type of Const. rc Name Dean Horton Move ? .# Stories z Address 1866 Jade Ln Demolish ? Front ft. Ciry E8gan phone 454-302 5 Grade ? Deorh tr. e__.....i. Cm. o Nome - SI'.*..i.ng Feas a,..,?,.d roo,?,...st. Se: ?? Address 5222 Minna qna Dr_ I- .-:•_ Mnlc_ n?--- 579-6172 Name _ Address I hereby acknowledge that I have read this opplicotion and state that the information is correct and ogree to comply with all applicable SMte of Minnewta Statutes and City of Eagan Ordinonces. Signature of Permittee - A Building Permit is issue to: __Re all work shall be done cordan with Building Official Assessment - Water $ $eW. Police Fire Eng. Plonner _ Council - Bldg. Off. - APC Permit J•vV _ Surchorge .50 Plan check_ SAC Woter Conn. Water Meter Total 5.50 _ on the express condition that nnd City of Eagan Ordinances. EAGF.N TOWN5HIP 3795 Pilot Knob Road St. Pau1, Mianesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTTON Date: February 17, 1971 Number: 544 3-5-7 B111ing P1ame: Cedar Grove Const. Co. Site Addreas: 1866 Jade Lane Owner: Same Pltmber; Stein, Inc. er Billing Addxess 7343 Concord Blvd. E. South St. Paul, Minn. 55075 ze +Connection Chg.260.00 ud 2/22/71 Meter No, +Permit Fee 10.00 nd 2/22/71 Meter Reading IMeter Dep. Meter Sealed: Yea_ 'Add'1 Chg. NO f Total Chg Building is a: Residence ? Iqultiple tio, Units Commercial Ixttlus tria 1 Other Inspected by Date Remarks: 1i54°ROPFRLY INSTALLED ilJ?FTCRS. B9, Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulatioas of Sagan Township, DakoCa County, Mfnnesota. By: CRnAU f:uOVE COf1STRlCITON COA1PLNY Please notify the above office when ready for inspection and connecYion. EAGAN TOWNSHIP 3795 Pi1ot Knob Road St, Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SBRVICE CONNECTION DATE: February 17, 1971 NUMER 703 (Lot 3, Block 5, Cedar Grove #7) OWNER•CEDAR GROVE CONST. C0. Addxess 1866 Jade Lane ? PLUMBER Stein, Inc. Try[pE OF PIPE Cast Iron DESCRIPTION OF BUI1A ING Industrial Commercial Residential Multiple Dwelling No. of units ?ooc Location of Connectioas: Connection Charge 200.00 pd 2/22/71 Permit Fee 10.00 pd 2/22/71 Street Repairs Total Inspected by: Date Remarka• By. Chief Inspector In consideratioa of the issue and delivery to me of the above pezmiC, I hereby agree to do the proposed work in accordance with the rules and regulationa of Eagan Totrnship, Dakota CouaCy, Minaeaota By. CEDAR GROVE CONSTRUCTION COMPANY YVlOY(Dn..O ') E Please aotify mhen ready for inspection and cosmectioa and before an portioa of the work ie covered. MASTER CARD 6 LOCATION OWNER K Aqo%AMJ STRUCTURE AND ?A R LAND USED AS -? - Permit No. Issued Issued To Goniractor Owner BUILDING PLUMBING ? I - V -?G CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER I OTHER _ I OTHER I r 1 LJ r ? ? Items Approved (Initial) Date Remarks Distance Fr5? Wel? FGOTING /n 9-,23- r SEPTIC ? FOUNDATION CESSPOOL FRAMING s? ? 7 Cpe • TIIE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING I WELL SANITARY SEWER Violations Noted on Back COMMENTS: 7 I ? Ill .Qt _ w 0 lo . ? ; o/ `?t? ? y ? L 997 +?- c alaa j+ 99A/ ?1 / ? ? * tl a MASTER CARD • LOCATION V Oi OWNER SiRUCTURE AND LAND USED AS ? ? '4`G 3 • '7 Permit I No. Issued Coniractor Owner BUILDING PWMBING CESSPOOL - SEPTIC TANK . WELL ELECTRICAL HEATING 79 - GAS INSTALLWG I SANITARY SEWER 7 P3 OTHER - OTHER I • ? Items Approved (Inifial) Dafe Remarks Distance From Well FUOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE fIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION I SEPTIC TANK CESSPOOL DRAINFlEID PLUMBING ? 4` WELL SANITARY SEWERd I? h _ Vio!ations Noted on Back COMMENTS: JAN-23-2012 12:16 PM STANDARD WATER CONTROL 763 537 1882 P.01 • lilt j Ul DdEdll -~h I Permit Fee: ~r y I 3850 Pilot Knob Road Eagan MN 68122 RECEIVED I Date Received; ' I Phone (661) 675.8876 i Staff; Fax: (651) 675-5604 JAN l 3 2012 1 t 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' oc Site Address: Unit 1f:fi n p H i !9 f Name: I r 0 Phone: Aat~~~ Address/City/Zip: 18GG ~e_ ~.n fwotaan, M1 ~5~~a 111i~1.~+:.~i~~ a~. a Applicant Is: Owner Contractor r Dsscriptlon of work: r 1 h l /Q SU : ,p m Construction Cost: 6,4044191 Multi-Family Building: (Yes / No__) d} 's 41K;j~`,,.-l` Company /r k f0 contact: Ale 04"n y' Address: City •sri~tState:.Md~ Zip: 7 Phone: 9 r.- 0 ~ ^~lr• License Lead Certificate tite If the project Is exempt from lead certMostlon, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA 2= IF CONNSIRUCTING A W& BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yss ,_•,_No If yea, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer A Water Contractor: Phone: CALL BEFORE YQU DIG, Cali gopher stets One Call at (061) 4644002 for protection against underground utility damage. Call 48 hours before you Intend to dlg to receive locates of underground utilities, www.aooherstala risIQs l.orn 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 ■ building permit Issued In accordance with the Minnesota State Building Code must be completed within I60 days of permit Issuance. x A aan 's PlInted anti App eaM's t re Page I of • DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level Pool Miscellaneous Accessory Building le, WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MACES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction ~r Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 1 Final / No C.O. Required Foundation t✓ HVAC _ Gas Service Test Gas Line Air Test Drain Tile--- ~00 Other: Roof: -Ice & ater -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: 100 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge 0 S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3 Use BLUE or BLACK Ink 1 For Office Use I City of Ea on I Permit# o'~) 1 I I Ed 1 3830 Pilot Knob Road Permit Fee:' I~ Eagan MN 55122 RECEIVED I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 JAN 3 1 2012 Staff: L--------- 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date Site Address: JJA / E--- ~ Unit Name: SU t Itit Ec,) SSA tst2~5~ Phone: _ ~S(~ ZOb -x}34 7 RESIDENT / i OWNER ~j Address / City / Zip: 1966 s'`aD4e (.._N 5A-<y AA f /yq M SS12.7- Applicant is: Owner Contractor TYPE OF WORK FDescriptionof work: t T Construction Cost: Multi-Family Building: (Yes _ / No ) j Company: RTS it OaE-LI 6- I.C.C. Contact: Tf-6tJT' GT6 t2,J CONTRACTOR Address: SZ3 Rgr#%A r AJE City. CAQ VC-rL r State: rK t J Zip: _ SS !v 1 S' Phone: 6 I2 - PN03 S 13 1 License ZC G S 9 8 1 S Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) tt A JG 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 classed as non-public if you provide specific reasons that would permit the City to conclude that th_ev 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. Applicant's Printed Name Applica is Signature Page 1 of 3 DO NOT W y RITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage - Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi - Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) - 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous - Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window X Water Damage _ Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition f~ F SAC Units (25%-100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas ' - Lme Air Test Drain The Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: In Air Test _Rough -Final Windows Insulation Retaining Wall: - Footings - Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee IV Surcharge Plan Review` P MCES SAC City SAC y Utility Connection Charge / S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA102970 Date Issued: 02/09/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1866 Jade Lane Lot: 3 Block: 5 Addition: Cedar Grove 7th PID: 10-16706-05-030 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Neil Couture 62 Hamlin Ave So Saint Paul. MN 55105 651-699-2725 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: North Star Plumbing & Heating Jule D Gross 62 S Hmnline 1866 Jade Lane St Paul NIN 55105 Eagan MN 55122--210 (61)699-272 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA139842 Date Issued:11/10/2016 Permit Category:ePermit Site Address: 1866 Jade Lane Lot:3 Block: 5 Addition: Cedar Grove 7th PID:10-16706-05-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jule D Gross 1866 Jade Lane Eagan MN 55122--210 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature