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� ��`�'O <br /> � General Information Sheet ?` � <br /> ��KFSH�pt <br /> Date: .� I � I � �' Time: ��� <"'�` ❑ Counter ❑ Called <br /> Property In#ormation <br /> Property Address: <br /> �f `� !���- �-� / -, - J �� <br /> c�ty,z�p <br /> � ��<'t_` i -� �'� _�_ � C� � ���3 / <br /> Zoning Classification: n t�� � -/� Map Attached: Yes ❑ No <br /> /'� <br /> Contact Information <br /> Neme: Dan Ryan <br /> Design/Project Manager <br /> Home Phone: <br /> Office 763-478-2752 <br /> Fax 763-478-6554 <br /> Cell Phone: Mob<<e biz-363-9oss MAPLE CREST <br /> z4zs x�ghWay ss LANDSCAPE <br /> Email: M�a+�a,MN ss34o <br /> d�mrC�maplecresdandscape.c�nn www.maplecrestlandscape.com <br /> Questions Hando�t{s)Given: �Yes ❑ No <br /> ❑Animal Regulations(Type: ) ❑ Hardcover Regulations <br /> ❑ Building Permit (Type: ) ❑ Land Alterations(_Minor/_Major) <br /> ❑ Building Permit Status n Rebuild Questions <br /> ❑ CUP Process etaining Walls (_<4'� >4') <br /> � Decks � Setbacks <br /> ❑ Demo or Teardown Process ❑ Stairway to Lake <br /> ❑ Escrow Questions or Escrow Refund ❑ Subdivision Process <br /> ❑ Fence Regulations(_Lakeshore/_Non LS) ❑Variance Application Process <br /> [�Other/Additional i-�c� l I <`� 1Xt � ��� S <br /> Other/Additional Questions & Staff's Notes/Response <br /> � _. -� �� �� c r� < < / �l y��/� �cx c �__ <br /> l <_ L�- c�_� � -f S ��' <br /> �-�/,S�-✓ �'� q ��-f�I � �«,�'-2;� -� � �"� c��� <br /> �� �6'� �-Q-- S ---�—c� <S ��1 �� -� � `i�� -{�� l�" <br /> :� C i _ <br /> , C::�� �-�-,i fs i� c�n /U��i <br /> _ - J�.� � s -� �/<�c�� �, t� /l �� �/� <br /> �_ ��c �-� ��v� l l ��-� �� S S � �,2 ��-� �� � / <br /> I�� C-�k��( r t� <br /> f� ,�� � c C �E, �'�-�c-�z t- �� �' �� E_� <br /> �.� <S <br />