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DANE COUNTY=INS DIVISION <br /> f, <br /> CITY COIMry MOM N 116 • <br /> X20 MARTIN L1WI ER IQNI.Xt.NM. <br /> MAINMON.WISCONSIN 53103-1R0 <br /> PHONE E IN-4166 FAX/67-1540 <br /> ZONING PERMIT CHECKLIST <br /> meansuimmilleaslimauslum <br /> 1- LANDOWNER: VetaD1en, l cs a_ <br /> ADDRESS: ADDRESS: <br /> MACAS..a.r ■11 Sails <br /> PHONE: 61411 . 221—• 3I es MOW <br /> EMAIL: RAZ: <br /> 2. TYPE OF PROJECT: �6 3 LCfrre pl us "r• J <br /> ESTIMATED Doer OF cONSTRUCrlCN: $ -� <br /> 3_ ADDERS CF PROJECT.IF KNOWN: <br /> 4. LOCATION CF NIO,TECT: <br /> TAXPAigcs AMER 0 <br /> s1wOQa�1rK ed r ZANA <br /> LOTM4NIEaR,1FAAM <br /> 6- =WS DISTRICT: <br /> 7. S I T E PLAN: *A site pin o u s t be&m a t o s e e k skew*,M s k i t Vi and bt dins o .flu keel" <br /> and six of aasxtrtnlg and proposed bukdips or addition,end Moir*mot from <br /> kit Ina NMs kt/s not sorrel/bypr is awl the bustbn a l srs of Wig on <br /> septic system and the kret+ion of the meek&skew on the pi • <br /> &mphofs ate eI'MOM <br /> s FLOOR RAM AND ELEVATION VMS(Fran. alas. rs r): A Agra bs kept JoZM4p 011isisa fibs <br /> Eximplos.f Mow Plow end aferruIC... <br /> 9. PUBLIC SEINER OR PRIVATE SErI7C - <br /> STATE SA MT MY PEWIT NEW O N ff 1 .PEBZ D <br /> APPROVAL FOR AMOK BEDROOM OR> !Di AREA NEW Y/ IF YES. PROD? Y N <br /> 10. DRIVEWAY(Sr Culvert or Access)MKT? 7 Y w v.PROVIDED"0 <br /> Many Mans eoDri en.yPerit Cb nty Depar/aantor <br /> WDOT pawing maybe required for <br /> d',i r r w a p t aW h a m s,S.o A u n t y,s l a t s or US*kw <br /> ,� WETLANDS Y <br /> Ii. 5110R8.MDt Y.7^ I �? Y� VG <br />