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• <br /> DANE COUNTY ZONING DIVISION <br /> CITY COUNTY WfLDVIC NA 116 • I *` <br /> =10 MARTIN WHIR p$.:R.BLVD. • <br /> MADSSON.W16cOtaW 83107-3342 t' <br /> PHONE 216-42N IAX 167-1510 ;: <br /> iatraataddlOWEntianing <br /> ZONING PERMIT CHECKLIST <br /> asmuLuilumisautimmenatetusslagt <br /> 1. LANDOWNER; VgtLV /DJ ILAGS A9a4T <br /> ADDRESS: lell�erI g...cna 'T wt 1�Nt ADDREIS: <br /> MA10166b.1 r h11 'Sal13 <br /> PONE; front . 221.. Si do !HONE: <br /> EMAIL: EMAf.: <br /> 2. TYPE OF PROJECT: <br /> ESTIMATED COST OF CONS?AUCTION: $ Z/ 1900 (Strucfur a pkt mechanical') <br /> �� �3. ADDRESS OF PROJECT ff KNOWN: btA. L.u14.c t- <br /> • <br /> 4. LOCATION OF PROJECT: <br /> TOWNSICA SECTION IA 1/4 <br /> TAXIAACB MAMI R <br /> SIMOTMSIOV OR It(Certified srrvayMqp2 IF ANY: I G IMIPP <br /> LOT WAWA 1fANY. f-„v <br /> 6. ZONRNi DISTRICT: ..N.`(° 1 <br /> 7. SETE n.AN: *A sits pan oust Its dross►fa salt shopsfq the let Ines acrd not dimensions,firs Aaaafia' <br /> end size ofaeNsxist,"end prepauodbrdif 'era end their&stances f_r+m-- <br /> - let bins& if tits Mt it"starved by plc awn the karat*mil srrt of the on s►fit <br /> septic system and the banter of the well s a be shown an ihepin. <br /> 6me*of•ate Mee ant mime <br /> d FLOOR MANE AND ELEVATION VIEW$(front. sides. rr'): A caw r be kept In Ding OEM :,film <br /> Dimples of Flew Mess wet Elevetient sftscli d. <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? `3" <br /> STATE SANITARY PERMIT NEEDES? N ff YES.Mart W t 3. &(S i O n l Z <br /> APPROVAL FOR ADDDE BEDROOM OR s+ M I%A R E A N E E D E D? Y IF Y E S.P R O V I D E D? Y/N <br /> 10. DRIVEWAY(a Cart or Mass)PERMIT N O? Y AO IF YES.PROVIDED? Y(N <br /> May limns,i Iva feowyPermi County"Amy• ar SOOT permits may beimplied for <br /> dine aysr ith aria fi a&soy,State e US Highway <br /> 11. SHORELANDt Y/ PLOODRA=N? Y t WETLANDS Y/e <br /> 12. TOTAL AREA OF 1 �Wpm fist) <br />