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2001-P04386 - addn/remodel/repair
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Countryside Drive West
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2755 Countryside Drive West - 04-117-23-12-0017
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2001-P04386 - addn/remodel/repair
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Entry Properties
Last modified
8/22/2023 5:07:19 PM
Creation date
5/9/2016 2:13:15 PM
Metadata
Fields
Template:
x Address Old
House Number
2755
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2755 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120017
Supplemental fields
ProcessedPID
Updated
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. . <br /> . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�ss Gc7�1NTfL�S�✓1.� �Q2 <br /> PID: <br /> DESCRIPTION OF WORK: Q�S�,�y�.�� �t,.,,s,� <br /> ------------------------------------------------ ----------------------------------------------------------------------- <br /> ZONING REVIEW BY: � ,� DATE APPROVED: 9-L5�v( <br /> BUILDING REVIEW BY: DATE APPROVED: q. Z5-� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER'VIIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> IN`��ESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /VO G/fl�l.�L <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side <br /> Rear (Street): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Set ack: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARK5 (in house): <br /> 7 <br />
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