873 Ivy Lane - Site Survey
? Pionaer Ensinaarine 7831883 P.02
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Certificate ot Survey for: CO1.II1tT yhOII
House Address: 873- 8L? Iiz Lane
? House ModeL• _
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? Dsnotas Ora4rop flow Dkactlon Top of Hlodt Rewtlon: 887. S7 ?
- oanotes aoR?,oge & utgny iFaeement °anUP Glob °aWU"` ?
r? Dmeoteffi Afonurnent NolrAt Pfovood wldkw •n, r9*9 a a aaaadmo. r* ae
a- Denotee atrset Hub Bsarings ehown are asaumvd ?°?'9 Pbn? appnw?d 6Y ??W a0? .
noM- cmlrmur umsc V.rr,M mm.abw s *w.wor d.w.
?aT 9-10 ..BLOCK 1 WoodIsnds NortI? .3 d
DAKOTA GMTY. OwNEsorn ?
h hwby osrtify thot thb aurvey, plan or raport wne proparad by ma or unde_g my dtreet wparvislon ahd that I am dly i leanoed
ond 9urveynr Lmd? Ne lare of tha Stats ot 6ttnnaootn. Ooted fhta ?p r day of ?? A.P. 1991. i
v?S4 ? ra • S ?levS'igned: PIONEFR mmAti i,mls ¢us•
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TeRenoo E Rothenbocher. L. Reg. . 2059
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95z 7631883 10-20-94 03:24PM P002 4
2422 Enlsrpriav DrM '
YnSa Hdyhb. IAN 59120
I w?o amvflrox9 . a?,i eim+?ms ( 612 ) 881-1914 FAX881 ?9488
13ryg naeN A'lg wm waut+oas • uaosCere ,waarecie 628 Hlghwoy 10 N.E
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7931883
P_02
2422 Fncarprias Vrlw '
Yendele H•tyhb, pN 59120
(012) 681-1914 FAX:881 ;
FASIt 783 i 1887
ot 5urvey for: G'ountrynorr.
Xouse Address: A73-57"1 Iw Lene
Rouse Model: _
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Denotes V?npossd Oewtlal ..,? •. 5..? •. •..:: ;
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Osnates D?aMage FTow Dbectlan Tap et Blodt Atlvotbm BBT.S? ?
- Oenolea Omhaqe k Utilty Eaeemant Dmvp 8fab E?sibtlon: 841?
DMOZEt MOHUmerlf N01lv Preyad buldb0 dp y.adli4 b N aeaadana wRh th•
-$- Denotea ORSet HUb Bearings ehowrl Ore aewmed gwbg p? eppmvd 6y ??-Ok-
?re, ?,? ?k ,?y ? ?.??o . ?y Jwg..
?OT BLOCK I Woodlands Nort,h Jrd
DAKOTA COUNTY, AIINNESOTA
hreby cer4Ny tliot thb surwy, plan w raport wos prepared by me w un my dkect wpeMslon and that I am,ydiiy i luncsd
and 9urv?ryur ?der fhe lore of the Stals M MlnneeaFa. Dated lhit ?.? day of ?'r A.p, 189L?
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le, r•?atw, Io-IS y Slgned: PIONEER P.A.;
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? Txrence E. Rothenbachar. L. . Reg. . 2069
7831883 10-20-94 03:24Pht P002' it4
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUndustrial buildings.
? multi-family buildings when separate permfts are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Rermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE _
TOTAL _
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
APPLICANT
STE. #
ADD ON REPAIR
STATE: ZIP:
CITY OF EAGAN