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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Boston, Inc <br /> tus; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) `-_" "-'u <br /> 1820 W Stewart Ave Wausau,WI 54401 i ` triC5ion; CSM <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS , <br /> (715)254-1229 (715)321-0001 bill.fonti @bostoninc.net vi. U elan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Tara Teske Finishing Touch Interior Signs DOK.CQ11Y.PLArjng 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) 12 Setbacks <br /> Wausau,WI 54401 Wausau,WI 54401 <br /> PHONE PHONE I 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/) 0 Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 032/0709-343-8850-0 C-2 7.17 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Madison 34 I/4. 1/a1/a: ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 2402-2404 W Beltline Hwy <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 1,536 3 / 3 ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION F. - <br /> PROJECT DESCRIPTION: <br /> Refurbishing Existing Pylon Sign ❑ Zoning Distetct"' <br /> •. ❑This project is a new building or structure. ❑Permitted isa?;,_e <br /> IN This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: <br /> .Ruffs <br /> EWER rEPTIC 1IeIA1h <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 31.6 1.0 r' <br /> S s® : " ,. .( 1ment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ En�stonContn�l it <br /> per <br /> TOTAL SQUARE FOOTAGE: m e , <br /> 4, s r <br /> © R <br /> 2ND FLOOR: 3RD FLOOR: <br /> ESTIMATED CONSTRUCTION COST: <br /> 300.0 �= <br /> Ir Survey <br /> and a.i it 1s. <br /> (Please round to nearest dollar) ♦ ♦ ♦ -i ♦ -♦ $ 25,000.00 , <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes ['No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ON() NI Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes ✓Ilo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ❑No <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) Des 1DNo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓❑No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4/08) <br />