4545 Lenore Lane - Site Survey'Mmmmu . SIGMA
SUIaVEYiNG
seRvecEs
3908 Sibley Memorial Nighway
? Eagan, Minnesota 55122
Phone: (612) 452-3077
Easement Sketch For:
Mr. b6 ilArs. NORA9 DUVICK
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SCALE : I 0_ l00 '
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Vacate Drainage and Utility Easement as shown on the recorded
plat of CLEARVIE59, said easement being 5,00 feet on each side
of the common lot line between Lots ll and 12, Block 2,
CLEAIiVIEVi, said line running from the most westerly corner of
said Lot 12 to the most northerly corner of said Lot 12.
New Drainage and Dtility Easement being described as 5.00 feet
northerly of a line run from the most westerly corner of said
Lot 12 to a point on the easterly line of said Lot 12, distant
70.00 feet southeasterly of the most northe.rly corner of said
Lot 12(as measured along said easterly line) and there terminating.
? WAYNE I hnrehy Mrtity Lhat this stuvzY,
CORDES ? p'.on or repcrt wus prepca'ec.° by me
or nnrar my dircci surervision cn3
- 14675 thn.! I am a dvly Registered Lcmd
5uroeyor under Ihe laws of the
.",!ata af r.:innesota.
?? ?+?,r.:?: 115 85
F. C:ordos Regis!ration No. 14675
P4Gf1C POOL G PAT10
MINNESOTA PACKAGE PRODUCTS, INC.
6922 55th Avenue North North St. Paul, Minn. 55109
Phona 770•7313
CUSTOMER NAME DATE 5" 9"
ADDRESS
HOME PHONE
POOL SI2E_s-r'fi.?`>[? WORK PHONE
Direcfions to job si?t?e
Zr?-/ffi?/??
Diagram pool site in relotion To house, garoge? property line, and wires. (Allow 3" vnriance)
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l. Location for dumping exeess dirt
2. Indicate deep end by (X).
3. Mark location of filter and/or heater by (#2).
4. Indicate approx. elevation of pool in relation To a permanent fixture on the property. If there is no permanent fixfure, mark
the diagram with the symbol (A) af grade poinf.
5. Will trees, clothes poles, power lines or any other obsiruction be encountered? Yes ? No ?
?
If yes, explain
6. Does customer wish to retain any or all dirt from pool excavation? Yes ? No
If yes„ explain
7. Indicate and explain pny special instructions not covered above. '46 f//(` te
g, Pacific Pools recommends that the cusiomer construcf a retaining wall as soon as possible after the pool is completed.
Yes ? No VShow in diagram.
4. Customer understands that somer'dam'age may be done to the yard and/or driveway while enfering and leaving fhe yard during
construction. Initial here
10. Customer acknowledges receYpi of grounding instruction sheet, and is responsible for grounding and electrical wiring of
ihe pool. Initial here ?- . -.
11. Customer assumes responsibility for the gas installafion of heater if appficabte. Inifiat here
Crew Chief Use Only
Inspection Required II SPECIAL NOTE i0 iHE CUSTOMER:
1. Walls ?
2. Plumbing ?
3. Footing ?
4. Electrical ?
5. Other ?
Call Mr.
af
Phone No.
If you wish to change: filter posifion, slope of land, or anything else stated in this
outline, please call our office - 770-1313. Crew chiefs are not authorized to change
anything on the job or make any promises for work to be done by them. Any Changes
that are not authorized by the office will be charged at a standard rate - no exceptions.
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Seller Signatur's ?f11? Customer SignaTure
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