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. . <br /> ZONING PERMIT APPUCATION www.coludyofdane.com NNIIIIIIIII <br /> SUPPLEMENT to YietrAPP # <br /> PROPERTY OWNER INFORMATION cil .meR To PRCNIDE <br /> owNer Nem . <br /> L ) 'cc 6 111.I P; <br /> OWNERADDASS plumber,. 4iiiiiiritri v. ing cski <br /> 11 V140 <br /> I 0 i • hi A, , <br /> VI W" - Restdcb°ce 0----n■--3 <br /> liAltd;•A CELL PHONE E-MAILADDRESS <br /> 014 11 ,.041410"/-31st ' Site Plan drawn to scale <br /> AGENT INFORMATION ! CONTRACTOR INFORMATION and includes , <br /> AGENT CONTRACTOR NAME <br /> - Ae0 VQ. 0 P ..uding location <br /> AGENTADDRESS CONTRACTOR ADDRESS . - -' <br /> (CITY•5 .Z ) (CA%M.M.Z1p) Setbacks • • <br /> PHONE PHONE . . C3 - .proval from <br /> . •• - .' _towns* <br /> e - <br /> E-MAILADDRESS E.MAILADORESS ••r plans to Sae <br /> PROPERTY LOCATION INFORMATION (http accessdane.co.dane. us ) II 7, -vation of propertY <br /> L_____..in ,7-1 ...E.,2,i,-Amo ACREAGE: el ,. .•.---.IS. <br /> • I- .a drawn <br /> 13 PARB4TPmc9. CrIl Crtz, C2 ' SS)'IGEWAIIIII <br /> . <br /> TOWNS 0 I • MINS <br /> . tA I sE5I 1/4. 6 i-) %ix.. - - <br /> __ .._... ____ ...._-- „ _ ... ,town) <br /> ADDRESS i 0 • _0(.4 • sieynua 0 , • <br /> s sanftwypernits <br /> CSA1: LOT (public,prkade) <br /> ( . -1 . .p I r, <br /> stk nu r I . 84 <br /> PROPOSED PROJECT INFORMATION <br /> OJECTOESPROUPTION: <br /> VOAA <br /> ' — ) Ct3/1165r <br /> 1- adl <br /> It is project is a new building or structure. <br /> SANITARY--z ‘..- PERMIT NUMBER: <br /> 0 sumo <br /> HEIGHT IN FEET: g ,_i NUMBER OF STORES: (Not - .Ingbonmninn) <br /> eP 4 • <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including Unfinished area,attached garages and above grade decks or porches) <br /> R.07-60. <br /> --/-63- <br /> - — isT / ,- -a, <br /> 1 urn.SQUARE FOOTAGE 4, <br /> IPA. . lik • <br /> , D •• <br /> 3WF-1.00R: <br /> il I /0 • 0 SO, <br /> ESTIMATED CONSTRUCTION COST: <br /> (Please round to nearest doter) -■ -P -■ -■ -■ -■ $ ', 35 61200 <br /> afflo CI Don't know <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake?........... °Ye$ <br /> 2. Is there a wetland or floodplain on or near the property?............................................ Dres [1114 C3 Don't knm <br /> 3. Have you talked with the township about your project and are they in agreement?.... Wes ON. <br /> 4. Heathers been a zOning penult Issued for this property ki the past 5 years?............. °Yes LI1 • <br /> 5. Is this project associated with a rezone/CUPNariance(petition/appeal R_________) (Ir blank If none) . <br /> 6. Is a location survey required? (see reverse). <br /> 7. Is this to correct a violation? .... 290Yes: lit Don't know <br /> ° <br /> APPLICATION 11U51 r BE SIGNED <br /> (Continue on BeaIC) -0' -+ -to <br />