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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 /> Realty Investments LLC <br /> ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street.City.Sate.Zip) Deed Restriction;CSM <br /> 2917 Business Park Dr Stevens Point,WI 54482 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (715)254-1229 (715)321-0001 bill fonti@bostoninc.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION I 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) ['Setbacks <br /> Wausau,WI 54401 Wausau,WI 54401 <br /> PHONE PHONE ❑Site Plan approval from <br /> (715) 845-0500 (715) 551-9971 applicable township. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> tara @ftsign.com david©ftsign.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑E of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING. ACREAGE: Elevation lev a drawn to scale. <br /> ElPARCEL 032/0709-343-8850-0 C-2 7.17 frontage <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Madison 34 1/4: 1/A: ❑Driveway permits <br /> (state,county,town) <br /> ADDRESS: 2402-2404 W Beltline Hwy <br /> ❑Sanitary permits <br /> CSM 1,536 LOT 3 SUBDIVISION BLOCK/LOT / 3 (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF'REVIEW <br /> PROJECT DESCRIPTION <br /> Install"Ashley-Sleep"Logo on Building Face 0 zoning District <br /> ['This project is a new building or structure. ❑ Permitted Use? <br /> r This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE. PERMIT NUMBER: ❑ Rural Address. <br /> EWER FIEPTIC (neW/exiStiflg) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> 27.8 1.0 ❑ Wetland/Floodplain/ <br /> Shorelaiid (attach t ) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ ECOSk>tnCOntftll: it <br /> BASEMENT:BASEMENT: 1ST FLOOR: <br /> , " <br /> 0.0 TOTAL SQUARE FOOTAGE: j (slopes,disttubant , <br /> filling/access) <br /> 2ND FLOOR 3RD FLOOR 225.7 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ '- ♦ ♦ $ 5 000.00 and available options. <br /> '"(Please round to nearest dollar) $ , <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? :Yes EjVo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes o ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes Dvo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? OYes Olo <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 �'Jo ❑Don't know <br /> 7. Is this to correct a violation? Dyes [lo <br /> APPUCATION MUST BE SIGNED <br /> ��1 ^1 n (Continue on Back) ♦ -i -► <br /> 545.112(4AB) ' c - ` \-VUU <br />