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4296 Svensk Lane INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , APPLICANT: t ANN „r 11 PERIUIIT SUBTYPE: TYPE OF WORK: INSPECTION . F ~ L Permit No. PertnR Holder Date Telephone # I S/WI I ~ PLUMBING I I HVAC I ELECTRIC I ELECTRIC I Inspectlon Date Insp. Comments I Footings I Foundatan Framing Roofirtg Rough Plbg. ~ Rough Htg. ~ IsuL ~ I Fireplace I Ffnal Htg. ~ I Orsat Test I Final Pibg. P16g. Inspector - Notity Plumber I I Const. Meter I Engc/Plan I I Bldg. Fnal I Deck Ftg. s o I I Deck Finel t Well Pr. Disp. I I I CITY OF EAGAN Remarks Addition Wilderness Run 5th Addition Lot 16 Bik 1 Parcel 10 84354 160 Ol ~ 4296 No. Svensk Owner 5treet a`~ State Eagan, MN 55123 r~t~~ L Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING 5AN SEW TRUNK a,a,\ 1973 132 .60 6. 63 20 . 3oS //5 ~ SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA P8i(] th water onnection 7/76 STORM SEW TRK 1981 • ;~4.20 D STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 3542 7-23-76 BUILDING PER. sAC 450.00 3542 7-23-76 PARK YILLAOE OF EAGAN 3795 "yt !!wqb R,,d WATER SERVICE PERMIT Eogon. MN 53 122 PERMIT N0.: 2021 Zoning: RII DATE: 7/26 76 Owner: Mdre.Zl ~ No. of Untts: 1 Address: nstruction Co. Site Address; 4296 NTo, gvensk Plumber; 6 Bl WR 5 Thomp,son P~umbfn ete ~ ~ ~ . ze• Connection Chaz eader No.: 7-~.2, Account D $e~ ~ eposi t: 'ag~~ 'i w~h ~ Vilfe pe~'t Fee: 10 . 00 bf 11ed 888 OM1n~~,~y,~.(,~COn J~ 94 oi Eospn Surcharge: . 50 bille Misc. Chaz a 888 By ~ ~ - Total: ges: Date of Ins Date paid; ` Insp.; VILLAOE OF EApAN 3795 Pibt Knob Rood SEWER SERVICE PERMIT EOg°^. MN 55122 PERMIT NO.: Zoning: I DATE: 7/26/76 Owner: ~ MarellF ~10. oF Units: I Addrees; nstruction CO Site Addreas: 4296 Ido, civ ensk Plurni~er: Thompson Plumbfn~- L16 B1 WR5 9 Co ~ro eo~ NN vill l00 . 00 ~Minaney, r ~h °ge of Eay~ Connection Cha~.$e: 350. 00 ~ Account Depqsit; Permit Fee: 10• 1 e By- Surchazge: • e Date of Inep.; Misc. Char ges: Inep.: Tota1: Dace Paid; ? ` CITY of EAGAN N2 4025 ~ UILDING PERMIT . ~.~T7d . . .......f 3795 Pilot Knob Road Ownex • Eagen. Minnesoia 55122 Address (P=esan!) ....~.I.~FF.IO........ ...~j1~~.~.--'°cri.r/•--• 454•8100 Builder ° . . sS~7O ~ Dals . . . . P~ Addreae DESCAIPTION 6lories To Be Uaed For Fron! Dapth Heigh! Eet. Cm! Permit a Aemasln LOCATION Slreel, Roed or olhar DeacripSion ot Locafion I Lo! Block AddflSon or Tsae! 1'his pesmii does not auShorize the use of sSreels, roads, elleys or sidewalks nor doea it give the owaes o[ his sgen! the sig6lfo ereafe anp aifuarion whieh is a nuisaace or whieh presenls a hazard !o the heallh, aefelp, eoovealenca aad geaeral weliare io anyone in the eommuaily, TFIIS PERMIT MUST 8 EP ~~E P.~EMIS WHILE THE WORK IS SN PAO This is fa cer!ltY. !ha!!-~:B?-.........has permissioa to erec! ..~F ....a-_~.~.l~<•..~~...._npon the above described pveynise subjeci !o the provisions of all appliceble Ordinances for Y~e Ci agan. '-!L,y.s„°--......_•- Per . ' • ' ayor BuildiaA Inspaclos . ' CORRECTION NOT9CE DATE: Z'~~~ Address O ~ Site Name Owner/Agent Telephone Owner/Agent Address Ordinance Nos. and Corrections - Correct ~ G/ For reinspeCtion Ea9an Dept. of Inspection In5p0ttOf: 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-87 00 Dept.: . / o i,135.d CITY OF EAGAN 3795 Pilot Knob Poad Eagan, Minnesota 55122 PERNfIT NO. • 705 ' The City of Eagan hereby grznts to Y'hemPson Plumbing Co. of 12201 Minnetonka Blvd. a Plumbing Permit for: (Owner) Marell Oonstruction Oo. at BftrAk ~ pux'suant to application dated 7/76,/79 Fee AWd S40.00 dated this Ia day of 79 1.00 a/c Statement A898 Euilding Inspector Mechanical Permits: , Bid Total: r ld ~~/.~55~ /lv6 a/ CITY OF F.ACr..V 3795 Pilot Ifnob Road Eagr~n, M_r.neae-ca 55122 F-=GUT P7C. ; 858 The City of Eagai; herety gra~-its to Ray N. Vlelter Heating 8 11/C sf 4637 Chicago Ave a. Heatinq S A/C. Yermit for: (Owner) Marell Const. at 42% No. Sventik pursuant to application dated 6/30/76 _ Fee Paid: $40.00 dated this 9 day of July ~'o_ 76 1.00 s/c Building Ir_spectoi• Mechanical Permits: . Bid Totn.l: ~ . REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ' ,7 ~ ' See'nsVUClions for complefing Ihis totm on back of yellow copy. "X" BelouD Wdrk Covered by This Request Ne Add Rep. Type ot Building Appliances Wired . . Equipment Wired Home - Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner p_ (specily) Contractor's Remarks: -C.~~.u. .~a.w- o,~. Compute Inspection Fee 8elow: # Other Fee # Service Entrance Size Fee f1 Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps 06 Transformers Above 200_Amps A6ove 100 _Amps Si ns inspeaors use Oniy: ~G TOTAL (iH IN Irrigation Booms 5 ecial Inspection arm/Communication THIS INSTALLA710N MAV B CONNECTED IP NOT Other Fee 5 COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouqn-m ~ oa~e . certiy that the above inspection has F~~~ oa been made. ~ OFFICE USE ONLY This reduesl vaid 18 monfis hom ' o _ g4~7~17 Requ[es~e 0 e Fire No. ugh-In Inspec6an Requiretl I Inspetlion Ot~er Than Rough-In l ~ I ~ S - ou must call inspeclor wh n rea ~ Reatly Now ~ Will Notlly Inspector ? Yes No Oa[e Rea I licensed contractor ?owner hereby request inspection of aboveilectrical work at: Job AC,drg~s(S1ree( Box or Route No.) cib `~t~-`~ Ce 3V ~NS LN ~'l~ Section No. Township Name or No. Range Na. Count ~A Occupant(PFINT) Pno ~ LO ~ e ~ Power Supplier Atltlrws ElectncaAl C'ontraclor (COmpeny Neme) Comractor's License No. O -2S Meiling Atltlress (COnhactor or Owner Making Installalion) l 1)O /Lin.) Authonzetl Ignalure (ConttactorlOwner Ma ing Installat n) ~l Phone Number u6 ~~~Lp MINNESOT 7E BOA F ELECTRICITY THI$ INSPECTION REOUEST WILL NOT Grlggs-Mltlwey Bldg. - Floom 5-128 BE ACCEPTED BY THE STATE BOARD 18Y1 1lnivereHy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642•OB00 mi I 1. 1111111111. 111. 11111111111111 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ ~ - 3830 PILOT KNOB RD, EACAN MN 55122 rs 651-681-4675 New Conatrudion ReouiremeMa RamodellReoair Reauirements • 3 registered site surveys shaving sq. ft. of lot, sq. ft of house; and all roated areas • 2 copies af plan (20°h maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing 6eam 8windowsizes; poured found design, etc.) • i site survey for extenoraddifions & decks • 1 set of Eneyy CalculaUore • Indicate if home served 6y septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Delail Options selectbn sheet (bldgs wilh 3 or less units) ~ Z- VALUATION ~~qC~ e~ DATE SITE ADDRESS MULTI-FAMILY BLDG _Y _ N TYPE OF WORK ~PC~raf-~ asvvt I'LtsUSo_ FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING, MU APPLICANT 41pn,r-vC€'_RIQR gcvD STREET ADDRESS ST. LOUIS PARK, MN 55418 CITY STATE_ZIP luvouulubu TELEPHONE #(nC2-$Z3 - 9'O q(aCELL PHONE # FAX # PROPERTY OWNER L.u S6Y7 TELEPHONE # GI b S- L« I COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'PA RLILLS 7670 CATEGORY 1 MINNESO'l'A RULES 7672 (J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submltted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # P1umUing system includes: Water Soflener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. oF Baths Mechanical Contractor: Phone # Mechaiucal system includes: _ Air Conditioning Fec: $70.00 _ Hcat Recovery System Sewer/Water Contractor: Phone # i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ot Applicant ________________e_ W OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 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 (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Foofings(deck) FinaUNo C.O. _ Footings (addition) - plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall I APProved BY , Building Inspectar Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total DATL':_ BUILDING PERKTT AP: r TCp"I'Mt? CftECK Lot_Z6 Block_ ~ Addition )_.,f Parcel and section number _ Street la,..~~n.,,~y~ ~ber 9l0 _ Owner P,~, Address_^ Developer 114-0~111a _ Address Tela~ Zone-ordinance #52 Lot Size X Total area Platted Unplatted Bul.lding Size X o°1-!,l Total area Occupancy Type of construction Setbacks: Street sides ar _ Sides Parking: Total area Total spaces ~O~%~ Parking area setbacks: ~ Street side R az' Si3a3 Lazdscapa appraval Bond required Special Assessments l S.:C charge @ $450.00 Water area: Assessed Unassessed If assessed: Connection charga If wiassessed: Connection charge Lot division: Additional assessments needed Not neaded Laterals: ~ Assessed Not assessed Waiver of hearing; Needed Not needed „ Assessment clk Water & Sewer Dept Auilding Dept _ Po19.ce Dept Fire Dept (Comm & Ind only) i MASTER CARD LoCATIoN vw5~ OWNER ///A W,4~ ~ Y STRUCTURE AND LAND USED AS U f.~ Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING I CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING 83g ~-9 7L . GAS INSTALLWG SANITARY SEWER OTHER I OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HE.4TING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER violarions Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS . PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION , ? NO EVIDENCE OP NON-COMPLIANCE a NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE $UBSTITUTION$ OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLIOWS: ? REINSPECTION REQUIRED DATE Of REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I hsve reported herein all significant conditions obwrved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- menu for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPIETED BUILDING INSPECTOR DATE COMMENTS: 23 PERMIT ~ CITY OF EAGAN PERMITTYPE: eurtini~p~~ 383t Pilot Knob Road Permit Number: 020969 Eagan, Minnesota 55723 (612) 681-4675 Date Issued: 0 5/ 19 / 9 3 SITE ADDRESS: 4296 3VENSK LANE LOT: 16 BLOCK: 1 WZLpERNESS RUN 5TH P.I.N.: 10-84354-160-01 DESCRIPTION: B,uildirrq. Permit Type DECK )B.uil-ding 4q~rk Type NEW `Build~.ng len~~h 3e Building W3dth~-1 16 ~ ) , ,r ~ i , .~.f_.,^ n, . . .i'~• 1 \ 11 t~ : REMARKS: FEE SUMMARY: Base Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 3ubtotal $25.50 CONTRACTOR: OWNER: - APplicant - BAKER CHARLQTTE 4296 SVEN5K LANE EAGAN MN (612)454-1390 ' Z hereby acknbwledge th$t I have read this applicat3.an and state'that the infawmat;ton is corrsct and agree to comply with all Applieable 5tete of Mrt, Statutes and C3ty of'Eagan Ordinances. L ~ 'd, I - APPANT/ MIT IGNATUfiE I D B: 5 NATU E INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLpxNG 3830 Pilot Knob Road Permit Number: 020969 Eagan, Minnesota 55123 Date Issued: 05 / 19 / 93 (612) 681-4675 SITEADDRESS: Lor: a.s sLocK: 1 AFFLICANT: 4296 SVENSK LANE BAKER CHARLQTTE WILDERNESS RUN 5TH (612) 454-1390 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION „ . iA FOOTIMG FINAL ~ ~ REACTIYATE _ {rl l T Vt CA4HIV PERMIT # , Uu'~~,~~~~~ 1993 BUILDING PERMITAPPLICATION ~ 681-4675 ~ a ~ i MAY 14 1993 6' SIN6LE 8 MULT - of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural b structural plans, 1 set of specifications, 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 is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Yaluation of work Site Address: ~~('l~ !?G~ ~ STREET SUITE • 7enant Name: (commercial only) IAT BLOC& ~ SUBD. ~~I ~~'{SS P.I.D. M - tt- bescri tton of work: The applicant is: [~l wner ? Contra tor O 0 her coes«;be> Name r Phone ~ ~~1~~_ Property AST FIRSi ~.,.7Z Owner Address XwGi'rke a h-0 SiREET STE M City A State Zip ~Slc~_3 Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration S Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknawledge that I have read this application and state that the information is correct and agree to comply w'th all applicable State of Minnesota Statutes and City of Eagan Ordinances. l ~ Signature of Applicant z ~ OFFICF USE ONLY BUILDING PERMIT TYPE _ ? 01 Foundation p 06 Ouplex ? 11 Apt./Lodging 0 16 Basemeni Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireptace ? 19 Comm./.Ind. Misc. 0 05 SF Misc. O 10 Multi. Add'1. 12 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE tg 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demalish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. fire Sprinkler length o On-site well Census Code -3- -4L/ Depth On-site sewage SA~C Cod bfd / APPROVALS ;5~E ~ Planning Building Assessments Engineering Yariance REGlUIRED INSPECTIOh(S O Site 11~; Footing ~rtg- ? Insulation ? Wallboard ;ff Final O Oraintile ? Fireplace Permit Fee 25. 0a $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Lapies .5~ Other Total: sac % SAC Units For: .rc . . ,.vnuale 11ver.ue $o rin~-to-r., 'Y.inr.ccct.a 5502 Cert. W57 DELMAR H. SCHWANZ.. LANDSVAVEYDR ~ . RepistetWUntlu1_aw3olTneStneof MmneroU . . . . . ; . . . . 14515 SOLlTH A08ERT TRAIL P.O. 80% M ROSEMOUNT, M11/NESOiA 5806B . iHONE 812, 423-1789 , $URVEYOR'S CERTlFICATE - y 48,33~~ 9i3 0 \ ab ~2 ~ ~`'E Zo t6 ~ /UE ~ h 3 y z4.. W, ~ o cvQ ~g, 9a' ~ ~ ~ v 10 10' Ifr BcoW( l . • tr..ear:i c~~r~~~ci ripree~ i;~at;r,n 7vu F't171 -TT'n 7~?Ynte r S Elk'- •h~ !'1ilISf;Y, Vj1::iF1~i:'.. ' E7~n •;~e ?oc&'-i:~^ eP a ^rc•ansed b3'_lc'.-', ttie^eon. ~ ~ r ~ ~ ~ - ~ ~ , ~ °-~e1N1FIN£SOTA REGiSTRA {pNNO 8625 r ~ f~..R~s~~ Clty Of E~18Il Pe~„t I~~ 7 I 3830 Pilot Knob Road ~ PermitFee: , Eagan MN 55722 Date Received: Phone:(651) 675-5675 Fax: (651) 675-5694 j srarr: (i,~= I I 2008 RESIDENTIALrPLUMSING PERMITAPPLICATION Date: ~9_ Site Address: 'T 2J40 Ln• ~j Tenant: Suite RESIDENT/OWNER Name:~~'~i` ~riiA.Y~ST)~ Phone: ~JI-q0S-"IL_J / Address/City lZip: ' C{,1'7lQJ /v OLS CONTRACTOR Name: License Ip Ino- PM Pion Address:_ 851 385-1340 3670 ()odd Rd. #100 C'ty: Eegan, AAUL.5512AAAAA Sta2e: Zip: Phone: Contact Person: ~f I S I P TYPE OF WORK _ New ~Replacement _ Repair _ Rebuild _ Modiy Space _ Work in R.O.W. Descri tionotwork: ~ PERMIT TYPE RESIDENTIAL LWater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ~ RPZ PVB) Main _ Lower Level) SepticSystem WaterTurnaround . New Abandonment " RESlDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or.Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge)- $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (inGudes Counry fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformance -wAh the ordinances and codes of fhe City of Eagan; that 1 understand this is not a permit, but only an application for a pertnit, and xrork is not W sWrt without a pertnit 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 6Cu'-y)2 SC7 .M.P U e-r _ X ApplicanYs Printed Name ApplicanYs gnature' FOR OFFICE USE Required Inspections ~ UnderGround . , , . . _ . } j ~8Lf _ 2C804 Lvndale ~57 Cert. ~ ~ . DELMAR H. SCHWANZ. Li41`10 SURVEV4R ReOjslcr*d UnAU l,aws of Tlfe 51+ts of M,nnesota 14515 SOUTH R08ERT TRAIL P.O. BOX AA ROSEIIIOIiNT, MINNESOTA 55088 PHONE 912 423-1789 SURVEYOR"S CEFiT?FlCATE 111" ~ 9~3 0 ~b048 qZ.oy ~ p6t~ zo ' >6 . 60 '0 0 ~ r z¢ ~ ~ t7 ,BLOGf( ~ 5'90 • 0 nf Tnt. lf, :,]ock i, RI1E-rOta. ;To Fhcwitiq thE Ic?caLlon cf a rrnpc::e.d hu? 2d?r:E, Lhereor. ~ ~ a - i ^;`,IFSOT a REGISTRATION N4. 8625 '