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1512 Oakbrooke Lane. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KIVOB RD, EAGAN MN 55122 651-681-4675 6L sasN-'?3 4 5369.99 K,C-- Sv s, 3 -7o .sc P?- 5-vS14 a J. Sp 5'o Sysls NewConatructionReouiremenb RemodallRanairReauirements ?l . 3 registered site surveys showiig sq fl. of lot, sq. k. of hause; and all rooted areas • 2 copies of plan (20%maximum lot coverage allowed) • 1 set of Energy Calculations kr heated additions . 2 copies of plan showing 6eam & window s¢es; poured fouM design, etc.) • 1 site survey for exterior additions 8 decks . 1 set of Energy Calculations ? • IiMicate if home served by septic system for additions . 3 copies of Tree Presenafion Plan B lot platled afler 7/1/93 • Rim Joist Delail Options selectian sheet (bldgs with 3 or less uni4s) ? / if 5`nQ q9 ,?- %, \`?1? DATE C? \ ?\ O? VALUATION ?a? flOu SITE ADDRESS LTI-FAMILY BLDG _Y I/N TYPE OF WORK FIREPLACE(S) c? . Phone #?\??- `ctc?n APPLICANT Cu\Ne- STREET ADDRESS U-E?(43_STATE?N?`k ZIP 5\?-? TELEPHONE CELL PHONE # \A-??- \?l\ FAX # PROPERTYOWNER'S?v? NX Orti? TELEPHONE# ------------°--------------------------°------------------°---------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATI:GORY 1 MINNFSOTA RU1.LS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelopa Calculations Submitted ' Plumbing Contractor Phonc # zk Plumbing syslcm includes:? Watcr S __ Lawn Spnn N&())'())0() Water Heater 1 No. of R.I. No. of'Ba4is Mechanical Contractor ?\Ph Mcchanical system includes: Air Conditioning Heat Recovery Syslem Sewer/Water Contractor: ----°--°--------°-----------°----°---------°--------°----°---°-°- I hereby acknowiedge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan?c Stgnature of Applicant 0 ?1 2 and agree to comply OPFICI: USE ONLY Certificates of Survey Received y,b.g Tree Preservation Plan Received _ Not Required /\ Updated 4102 OFFICE USE ONLY '? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ,)I( 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous x 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire B ldg anly) - Give PCA handout to applicant Valuation /76660 Occupancy Rr 3 MC/ES System l- Census Code /G/ Zoning /0-0 City Water /WS SAC Units G/ Stories .°.? Booster Pump ?- Nbr of Units ? Sq. Ft. PRV 7 &S Nbr. of Bldgs 0/_ Length Fire Sprinklered ? Type of Const ? Width REQUIRED IN SPECTIONS at? Footings (new bldg) ? FinaUC.O. _ Footings(deck) ' FinaVNo C.O. Footings (addition) _ Plumbing a? Foundation HVAC te Drain Tile Other Roof ?E Ice & Water ? Fi nal _ Pool _ Ftgs _ AidGas Tests _ Final Framing _ Siding Stucco Stone ? Fireplace ? R.I. -gAir Test )?, Final _ Windows (new/replacement) Insulation _ Retainine Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total I .3 tl?ed, VV-414-" //70 ? G9?,.?fa ??z ? /G Building Inspector G 3r go = /?5// Y i i MNr.her.k COMPI IANCE REPnRT I MinnPSnta Fnarnv rnde I Pprmit # MNr.her.k SnftwarP Version 3.0 I ? I ChPr.ked hvlDatP I" I ? COUNTY: Daknta STATE: Minnesota 70NE 2 CoNSTRUCTtoN TYPE: Single Family DATF_: 1-11-2002 DATE OF PLANS: 7125I00 TITLE: Oakbrooke Sterling with Lookout COMPLIANCE: PASSES RPnuirPti UA = 532 Your Home = 403 7420% BPtter Than CndP ArPa or Cavitv Cnnt. G127ina/Donr Perimeter R-ValuP R-ValuP U-Value UA ---- ----------------------------------- CEII..INGS 1218 380 0.0 37 WALL R.SMTSConrn9 (Y ht/R.3' bn 9.O' insul 1047 ? 1110 ? 0.0 ? ??50 GLA7_ING- Windnws nr nnnrc. ?? hnvP GrariP 402 0.350 141 DOORS 0.350 13 ? H AC EC) IIPMENT ? Fumar.e. 99.0 AFUF_38.0 0-0- ----- - ------ ----- -------------------- ---------------- COMPLIANCF STATFMENT? ThP nronnsed huiidina dPSinn rfPSCrihed ere is ronsistent with the huildina nlans. sner.ifir.ations. and nther r.alr.ulations suhmitted with the nermit annlir,atinn. The mmnosed huildinn has heen designed to meet the?J e ire nts o/f ?the eso Energy Code. ? , , -^--°---- / ? ? // ???3? Date ow ' PULTE HOMES OF MINNESOTA ? ? JOB INITIATION ORDER DATE: 4128/2002 JOB NO: COMMUNITY: ADDRESS: MODEL NAME: BUYER: ADDRESS: HOME PHONE: SALES REP: n19n_ali_ni Oak6rooke Single Family 1512 Oakbrooke Lane STERLING MODEL#: 18232 3-May LOT: 13 BLOCK: 3 UNIT: ADDITION: PHASE 4 CITY: Eagan STATE: MN ZIP: 55122 ELEVATION: 4 GARAGE: RIGHT 3497 Coachman Road CITY: Eagan STATE: MN ZIP: 55122 651-456-9311 BUSINESS PHONE: 651-405-3016 BUSINESS PHONE: Jolayne Moberg PHONE: 651-686-2862 1 ? 18232 '• ?ayg, P .. 'S.'„a3c".fr STERLING-' R» Mw ' ??6 S286,990 1 00000 Lot Premium $4,000 1 11012 FULL BASEMENT- WALK_Ol1Ti $4,095 1 18039 ECEVATION #4-1 $10,995 1 22004 3RD C,4R GAR=EL#47 $7,995 1 19025 GARAGE SERVICE DOOR $760 1 14000 BASE CARPET ADJUSTMENT $0 1 14004 1 ST CARPET PAD UPGRADE $1,675 1 14001 i 5T CARPET UPGRADE $370 15000 BASE VINYL ADJUSTMENT $0 5 17024 CEILING ELECTRIC OPENING $500 23007 3 TON AIR CONDITIONER $2,800 4 32001 CAT 5 PHONE OUTLET ali beds, living room, kit $400 1 32004 SATELLITE R.I. $165 1 10091 GAS RANGE/OMIT 220V $450 1 21021 GAS FIREPLACE -.CERAMIC WNVOOD 7 $4,395 1 13077 WHIRLPOOLTUB $1,175 1 26043 WOOD RAILING - 2ND FLOOR $620 1 31011 LAUNDRY TUB SNGL COMPRTMNT laundry room $300 1 35066 4TH BDRM-FL OAK DRS $1,240 $0 $0 TOTAL $328,925 THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS. APPROVED BY BUYER (S): APPROVED BY BUYER (S): APPROVED BY SUPERINTENDENT: APPROVED BY SALES: ? ?? ?? Builders License # 0001371 r ' • LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL• L o? I? 13 --i? LQ ?' DATE OF SURVEY: LATEST REVISION: ? rn c W L) OOCUMENTSTANDARDS Y a v O Z Q ?_? - • Registered Land Surveyor signature and company ??C ? • Building Permit Appiicant 7? G G • Legal description ? E _ . Address ?" - • North arrow and scale t lit t l k t ) li / . en ry, ou , e c. t w o, sp oo House type (rambler, walkout, sp ?C C • Directional drainage arrows with slopelgradient °/a C C • Proposedlexisting sewer and water services & invert elevation ? C C • Street name ? • Driveway / n c • Lot Square Footage d C - • Lot Coverage ELEVATIONS Existin • Sewer service (or Proposed) • Property corners ?/^ • Top of curb at the driveway and property line extensions ?/ - • Elevations of any existing adjacent homes • Adequate footlng depth of structures due to adjacent utility trenches . Waterways (pond, stream, etc.) Prooosed • Garagefloor ? - - • Basement floor • Lowest exposed elevation (walkouUwindow) 6_/'/- - . Property corners . Front and rear of home at the foundation PONDING AREA (if aoolicable) ? ? _ • Easement line ? • NWL ? ? C: • HWL • Pond # designation • Emergency Overflow Efevation e?/ ' -_ . U" ' _ • ?/ - - . ?/ _ - • DIMENSIONS Lot Iines/Bearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining walt requirements, i Reviewed: Surveyor's Certificate SURVEY FOR :auLTE HoMes DESCRIBED AS :Lot 13, Block 3, OAKBROOKE 6TH ADDITION, City of Eagon, Minnesota and reserving easements of record. ar ? ??? Be r ? ? , Q 5no.i =?,'? O ? N ? r i? # ,szs, PROPOSED ELEVATIONS Top of Foundation = 944.0 Garage Floor =943.7 Basement Floor =935.0 Aprox. Sewer Service =932 o± Proposed Elev. _ (Z:::) Existing Elev. Drainage Directions =- Denotes Offset Stake = . SCALE: 1 inch = 30 feet HEDL UND I HEREBV CERTIFY THAT THIS IS OF THE BOl1NDARIES OF TFiE AB BY ME OR UNDER MY OIRECT ^?F PLANNING BNGJN6l1RlNC SURVltYlNG SHOw IMPROVEMEN75 OR ENCR 2005 Pin Oak Drive Eagan, MN 55122 DnTE AL/--/02 Phone: (651) 405-6600 ? fax: (651) 405-6606 4? EA(3A`? RIEV EWED BY -G? ?:. LUILDING IEMSPEbTIOd`9a? ?EPT. ' ?r?,% ` 931.7 F)?nn?f ?U L 0 T SQ. F00 TA GE HSE SQ. F00 TA GE L 0 T CO l/ERA GE _ -vncnuT- = 11, 664 _ 7, 852 16% BENCHMARK, MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- suRVerEo PORT TO AS R_ N0: 02R-500 CAD FILE: SURVEYOR t 14376 Oakbrooke 5 I'iC if1 5- 9 (":2f c) PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit $3 o_s--a Date o6 / A6> ! D 'J Site Address Unit # Properry Owner t;p ?1 /y U x/1 A Telephone # (45'"/ ) YS6- r3// Contractor GA-,`d, d- Sb n S `1 y M. b in o Address 315- ?9-Unt?Q.u Zarn e- City_ P/}riK OV? State M/1f Zip sS V'f 7 Telephone # P63) q-7s =472 r 6 The Applicant is _ Owner ? Contrac[or _ Other Sep[ic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes 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 $ .50 Stste Surc6arge Tota? s 3 I hereby apply for a Residential Plumbing Permit and acknowledge that'Ehe information is complete and accurate, tUat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 ?i???' `? ' % wr !?'?o hr Applicant's Printed Name Applicant's Signature /S/2 OAYLb.ceniu` L4 Lot!L13 &ock 0-3 Subd. 3fte address: On April? 15, 2000 the Minnesoia Energy Code, Category I Building RequiremeMs for insulation protection, air Ughtness, and verdilation rtCeificate of Occupancy. C? of Eagan is requiring that the following information be submitted prbr to issuance of a I hereby acknowledge that the above informatlon is correct ana agree w u+?ly'l •°•• -- requirements. Date Slgnature Comperry Name • Thia torm is the reapaisibGity of the General Gontractor. This structure. Jg constructed ta meet minimum requlrements of the Mn Energy Code, ChaPter 7M OR 7672 or 7874 ? Thfs ffiructure: ? ?n???ed to meet more restrictlve requlreroents of Cheprs _a -7e 2007RESIDENTIAL BUILDING rExMiT nrrLicATiorr City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 /,?9- a) , CC"? ' New Construction Reouirements RemodeURepair ReauiremenLS Office Use Onlv 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all rooted areas 2 copies o( plan showing footings, beams, joists Cert of Survey Recd _Y _ N (20°/, maximum lot coverage allaved) 1 se ryy Calculations for heated additions Soils RepoA .. ? -_Y -N 1 Soils Report if proposed building is to be placed on dislurbed soil Y ,- - ?si, for atldiUons & decks Tree Pres Plan ReaJ _Y _ N, 2 copias of plan showing beam 8 window sizes; poured (ound de ron -'cafe if an-site sepfic sysfem Tree Pres Required _ Y_ N lsetofEnergyCalculahons -' On-sKeSeplicSpstem - ,"_Y,_N 3 copies of Tree Preservation Plan ii lot platted after 7/7l93 2007 Rim Joist Defail Options selec6on sheet (buildings wiGi 3 or less u Minnegasco mechanicalven6lationform Plans are considered ublic information unless ou state ttYe WeALde'secre`t a?d he rea?on.?nd" \ Date `;5 / ? / d( Construction Cost ? ? ? Si[e Address 2 ? aa" _ Unit/Ste # ? s Cr?-? / 4•1 ? - S S? "?-? Description of Work Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2 - ?I31 Property Owner Telephone # (05 () i Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venfilafion Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Su6mitted Submitted • Energy Envelope Calculations Submitted In the lasT 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Coniractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wark is not to start without a permit; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Telephone #( Telephone #( Telephone # ( the information is complete and accurat ApplicanYs Signature . s I • DO NOT WRITE BELOW THIS LINE r Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - MuIG ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 DS-plex A 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 7r, 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant DBSCription: Water0amage_Yes Valuation Occupancy MCES System Plan Review _x 100% or _ 25% Code Edition Census Code \/1 Y V! ---?-??- Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const W idth Footings (new bldg) ?C Footings(deck) Foohngs (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. X FinaUNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall Approved By: (i , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total ' ol,co Surveyor's Certificate JURVEY FOR :PULTE HOMES DESCRIBED AS :Lot 13, Block 3, OAKBROOKE 6TH ADDITION, City of Eagon, Minnesota and reserving easements of record. r? T?. 4e:,rr,). .. ?:,.:.: . ? . `; s. ;???? ???• C- AuFiN r ` 1J tY _ ? „{.,?i:l?_?i??G I??SPECTIO?a,,.? DC?"T, , ?P`PI `q517 3?•l MOONW " Be R qu?red C,e. Q 990.1 `;?.1'?' a \ ?x o ? 0 y x ? ? ?n. F` , ? # ,926, PROFOSED ELEVATIONS r x a 9qo9" ???.s S89°42'31;;,? 110.33 ? ?vn<nur- FOO RRU D LOT SQ. FOOTAGE =? 7 9, 664 HSE SQ. F00TAGE = 1,852 LOT C011ERAGE = 16% Top of Foundation = 944.0 Garage Floor =943.7 Basement Floor =935.0 Aprox. Sewer Service =932.0± Proposed Elev. Existing Elev. _ Drainage Directions = Denotes Offset Stake = • SCALE: 1 inch = 30 feet HEDLUND I HEREBY CERTIFY 1HAT THIS IS OF THE BOUNDARIES OF hIE AE BY ME OR UNDER MY DIRECT Si PLANNING ENGINBSRlNC SURVBY/NC SHOW IMPROVEMENTS OR ENC 2005 Pin Oak Drive : Eagon, MN 55122 DATE Phone: (651) 405-6600 ? Fax: (651) 405-6606 e-? BENCHMARK, ,IIO? MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- JOB N0: IENTA710N OZR-SOO SURVEYED PORT TO BOOK: PAGE AS CAD FILE: SURVEVOR t 14376 Oakbrooke S GLG- City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1512 Oakbrooke Lane Lot: 13 Block: 3 Addition: Oakbrooke 6th PID:10- 53765- 130 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Delta Construction Inc 547 Woodduck Dr, Unit H Woodbury MN 55125 (651) 747 -6323 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: 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. Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 - Applicant - Owner: Dung M Dang 1512 Oakbrooke Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA089873 06/23/2009 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Use BLUE or BLACK Ink r For Office Use Q Permit 118600 j City of EaRd Permit Fee 105.057 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: (1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: Resident/ F , Owner Address / City / Zip: o 14 Z a I Applicant is: Owner ,'L Contractor Type of Work Description of work: YIDe Construction Cost: Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: State: Zip: Phone: : License 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.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 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. t x x Applicant's Printed Name Applicant's Signature Page 1 of 3