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SUPPLEMENT to W -aPP <br /> ZONING PERMIT APPUCATION avacountyyo(dane.can <br /> PROPERTY OWNER INFORMATION C11$T0mmeTo nova= <br /> owrontrww' *I a✓i -11161:11/. l-.—C_ 0 Zoning eta CUP; <br /> 1 . Deed Restricting;" , ii a° 010 Valance M� --) <br /> "t' `1 cei . c POORER <br /> -�a►.�,,�ir �• • 0 Ste Plin drawn loscaa • <br /> 0f1s <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes 00 <br /> �►ale�rr a canwccuE <br /> ' jt�. .� ; , jj' V a 0 SltaPka Including 000000 . <br /> sorts CONTRACTOR ADDRESS ofvelMPtla <br /> • <br /> RR%OL,,ap ICAA ORR IIW • 0 sMbaCkS • • <br /> 'PHONE PHONE . • 0 Ste Pion approval fri" <br /> WAIL/MESS E1I LAOOREas ❑ Floor plans to soli <br /> PROPERTY LOCATION INFORMATION (htth .ucr..',d,in[_co.d,in, ...IL'. I ❑ BSValbnofpmlo'' <br /> 0 frontage drawn t003010. <br /> aecnorc �� '/.'/.: 0(stela, tom) <br /> r <br /> F�C�I <br /> r �� , 0 � � a eprkary Penn" <br /> csr ` LOT •' ' (publo.pdVats <br /> PROPOSED PROJECT INFORMATION <br /> PROJECT: . s p e, _ Tat j CAA9ArAdiv .. <br /> . tit‘project is•new budding or structure. • <br /> -ci This project is an additionlaltsration to an sodslnp buldklg or structure. <br /> aANrwrYINE 5 3 8 <br /> 0IEPTIC ) <br /> MONTNREr r. '� PsJMUEROFSiORM* phindraiyb+o 1 <br /> . ., I <br /> AREA TO NEAREST SOIUARE FOO11 docks or ) <br /> (Outside dararrsions Including raiJMrsd ens,''said garages and above grade <br /> momonot "I n 1ST <br /> . . i CI i 71---11'.-- • . 4 TOTAL MARE FOOTAIIR 4 <br /> 2ND MOOR WOFUR* 1 l L� _ <br /> ammo CONSTRUCTION COST: $ O ]Li • <br /> (Plans round to nearest dale) ♦ 4, -• -, -• -► <br /> . O.tiUa .0 Don't know <br /> 1. Ths.property is wI lrin 900 fest of a stream or 1000 feet from a pond or lake?........... 0 v Don't <br /> 2. Is than a wetland orloodiridn on or nearthe propene.».»...» ». 0 <br /> 3. Have you talked widr the township about your project and are they in agreement?».. <br /> .4. Hailer*bean a sank*permit Issued forINs property in the pad 6 yaws?••—••••»•• OWL 5. Is>fdeprojsctaasoctelsdwlh a ---� 0 Don't know <br /> S.Is a location survey required? (see reverse)»»»» ..»....»». Dyes <br /> 7. Is this to coned a violation? •» ' <br /> M ) B♦tt- <br /> wo <br />