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3240 Heritage Lane - permit to connect to city water and sewer,, ;. - . CITY 4F EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYPp': PAYMFTI'P QF FF.E AT TIME OF APPLICATION IX1E5 NOT aDNSTIIVIE APPROVAL OF PERNIIT. nvsPBMoN oF sEWx rND/Oz c..zm nsrar.ramrpNS yn,L NOT gE SCHED- UMFD UNTB, PF.RMIIT HAS BEQd APPROVID. . . ***t+r+,r*,e**,t***r*,r,t*,r,tt******?x***ri , P ease Print 1) PROPERTY ADDRESS : ?7p?/??e LEGAL DESCRIPTION: %LU Lin.LocxiauDaivision c_'Tax Parcel ID #) , IF E7QSTING STR[,'(,'IL'RE. DATE OF ORIGTNAL BC'ILDING•PERMIT ISSi'ANCE: ,. PRFSEt1P 7ANING/pROPOSID L'SE: MOntH ear .. ? Ca44uCIAi./RETAIL/0FFICE, R-1 STNf'?LE FAMILY . r7 INIDL'S7R7AL Q R-2 DL'PLEX (2t,io Units) ? INSTI'iTUJTIONAL/GOVF1tISyE,-AIP ? g-3 qpWNHpL?SE (Three + Units) ( Units) . Q R-4 APARTNffTNT/COI+DOMINIUM ( Units) 2) • •.? N71ME: ADDRFSS: CITY, S7`ATE. 2IP: PHONE: 3) • r ?• tdAME: ADDRESS: CZTY, STATE. ZIP:. PHONE: A) ?_w« •_.'ii7?,.1'???T? NAME: . ADDRESS: CI77, STATE, ZIP: PHONE: •5) " '' r• • ?• : o ? • ? - 7?M?MCTION [(.`rION TO' CITY SEWIIt ZU CITY WATEEt ? pTHER ' 6) " • •?' r.FnSF HOLD APPROVFD PERMIT FY)R PICK-UP BY ONE OF .?,gpyE --'" L APPROVID PERMIT 7n 1, 2, ?'j 4, AHOVE ' ' (Circ1'e one) pT7 3 / U Active Expired -el)Wr MASTER LI(ENSE# .? 02 ? St? a?f?Intlal