Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Boston, Inc <br /> OWNER ADDRESS (Number,Street,City,State,Zip) n Zoning Status;CUP; <br /> Deed Restriction;CSM <br /> 1820 W Stewart Ave Wausau,WI 54401 Variance(# 1536 ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (715)254-1229 (715)321-0001 bill.fonti @bostoninc.net 4 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Tara Teske Finishing Touch Interior Signs ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 723 S 72nd Ave Ste B 723 S 72nd Ave Ste B <br /> (City,State,Zip) (City,State,Zip) IN Setbacks <br /> Wausau,WI 54401 Wausau,WI 54401 <br /> PHONE PHONE la Site Plan approval from <br /> (715) 845-0500 (715) 845-0500 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> tara @ftsign.com david @ftsign.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: 51 Elevation of property <br /> ❑PARCEL 032/0709-343-8850-0 C-2 7.17 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> • Madison 34 +/4: +�d+�4: 0 Driveway permits <br /> (state,county,town) <br /> ADDRESS: <br /> 2402-2404 W Beltline Hwy <br /> ❑Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 1,536 3 / 3 (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Install"Furniture&Appliance Mart"Wall Sign ❑ Zoning District <br /> . ❑This project is a new building or structure. ❑ Permitted Use? <br /> o This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER rEPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 27.8 1.0 ❑ Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) I—. ErosionControl permit <br /> BASEMENT: 1ST FLOOR: <br /> 0.0 + TOTAL SQUARE FOOTAGE: ,, (slopes,s,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: tillingJacceSS) <br /> 190.6 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) $ 10,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Dyes ✓❑No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes EINo 4Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? DYes ao <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ao <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) :Yes ENo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes OW <br /> APPLICATION MUST BE SIGNED <br /> 545-112(aioa) (Continue on Back) .- -, -* <br />