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• <br /> DANE COUNTY ZONING DIVISION .T " ' <br /> CITY COUNTY MALS. RN 116 ` <br /> 210 MARTIN LUTHER CNC IR.NLYD. } <br /> u-� • 1• <br /> MASSON. _3341 • <br /> PHONE`266-41E FAX 267-1510 k2.-..5.k.._..- "--- <br /> W W W�_CduMyoMar •0 <br /> ZONING PERMIT CHECKLIST <br /> PLEASE FILL IN AS <br /> 1. LANOOWNB: VfIGIIwJ ILO) Whirs <br /> ADDRESS: ADD <br /> PONE: I,f 221..• 31 e o <br /> EMAIL: EMAIL: <br /> 2. TYPE OF PROJECT: ► - . a►i Structure Phu "'c' ) <br /> ESTIMATED COST OF CONSTRUCTION: $ <br /> 3- ADDRESS OF PROJECT.IF ICMOWN' >4- '( <br /> 4. LOCATION OF PROJECT: <br /> TOWNSHIP,SECTION 1/41/4 i A W tJ OF W6Ib6c'r J <br /> TAX PAM:L NRANAER ��, <br /> su9ozm:raVA?CS*#(Cayified5aWY ZFANY gli • I <br /> LOT AMA RA IFANY: 1 <br /> 6. =NINE DISTRICT: <br /> 7. SITE FLAN: *A site phis must be dream to sae shoeing the kt lames aid kit M.thh1 bran <br /> end size of of existing estdpvposed&kiW or edchtiors end their atstmurs from <br /> — lot ins& If the lot la not,errved bypwbl�c sown the location and size of the an-site <br /> septic systas►and the kcrtfas of the Isvishdbe show as the On. • <br /> fanaw k of a SAAe plan ar newrae <br /> S FLOOR PLANS AND ELEVATICN VIEWS(front. skies. '): A copra be kept In ZauIW 0irision filet <br /> EErof Myer Pleas end rlbae:• • \ <br /> 9. PUBLIC SEWS OR PRIVATE SEPTIC SYSTEM? ( • <br /> STATE SARIarARY FBRMIT NE91 ? Y I N IF YELL, FEIRMIT M ? Y/N <br /> APPROVAL FOR ADDING BEDROOM OR s 25%AREA ? Y l IF YES. PROVIDED <br /> 10. DRIVEWAY(sr dins"or Access)PERMIT NEEDED? Y N YES. PROVIDED? Y <br /> Many Towns.require a Dr irsooyPennft:County or NWT, ''• may his racked for <br /> &hews Nits access to a County,State or US Highway <br /> y • <br /> 1 MOREL AND? Y N FL+OODPLAIM Y WETLANDS Y l <br /> 1 <br /> •w TAT al Aft e•A!I iwcri Dt&M E[Boor!fain _ <br />