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2001-P04700 - addn/remodel/repair
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2760 Countryside Drive West - 04-117-23-12-0011
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2001-P04700 - addn/remodel/repair
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Entry Properties
Last modified
8/22/2023 5:06:59 PM
Creation date
5/9/2016 3:03:38 PM
Metadata
Fields
Template:
x Address Old
House Number
2760
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2760 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120011
Supplemental fields
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Updated
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. , T <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z� �O � Go•� •�•T-rr�,,S-� ryP <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZO.vI�Ti G REVIE�V BY: OV � DATE APPROVED: <br /> BUILDING REVIE`V BY: DATE APPROVED: , 2.- �- c� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes No �� SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Zl7NIt�1G CH�CK LIST Zoning District: /Ud Ga-s-,�v��-2 <br /> Fire Department: Post Office: School District: <br /> L.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetla�d: <br /> ; <br /> Building Height: Def. Hgt. Peak�gt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: ', <br /> Zoning File: # Resolution: # I� Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: ' L.ot Coverage: <br /> EziSling Proposed <br /> Hardcover: 0-75' <br /> 75-250' �� <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />
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