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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> GEORGff3JVFICE USE ONLY <br /> 540 OLD CRYSTAL DAY RD. PID: O 1.-- ([ 7 <br /> ADDRESS OR LEGAL: LONG LAKE, MN 66366 <br /> DESCRIPTION OF WORK: RPAAAATTLI 6 /44TIVV"- d– a..10( ��a LeA_ <br /> ZONING REVIEW BY: destnelmws, DATE APPROVED: 4- (6 -9 3 <br /> BUILDING REVIEW BY: Aloakto.4.— DATE APPROVED: 60 •14,. / .5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes '''' No <br /> PLAN REVIEW Yes—P ' No SEWER CONNECTION <br /> STATE SURCHARGE Yes- T No WATER CONNECTION <br /> INVESTIGATION FEE Yes No 4,- PARK FEE <br /> SAC Yes No v SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post�O�ff�ic'���: _School District: <br /> Lot Area: WiV76 <br /> 'dth: �'" Depth: <br /> p� <br /> Survey Submitted: Yes ��No Date of Survey: I l Y I( <br /> Proposed Setbacks: / <br /> Front ( e-) : /50 t <br /> a' Right Side: N N/4 <br /> Rear (Street) : 2676f4-- Left Side: - 4(40i:1-- <br /> Adjacent <br /> (DOfAdjacent Structures: /MAC 11t7/ Wetland: <br /> Building H-: ght: Def. Hgt Pea gt. <br /> Avg. Setba•k Lot Cover-ge: <br /> Existi g Propose. <br /> Hardcover: 0-7 ' ' <br /> 7 -250 ' <br /> 25 -500 ' t <br /> 500 1000 ' / <br /> / <br /> Hardcover ariance Re:uire• : Yes No Date of Coun it Approval: <br /> Grading: S aff Approva , Daie: B : Council pproval Date: <br /> M <br /> Septic: S ff Approval D. t: : _)/7 By: <br /> Zoning Fi :# • - -oluticn # : Resolutio Date: <br /> REMARKS (i house) : <br />