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. SUPPLEMENT to WebAPP # <br /> ZONING PERMIT APPLICATION www.cotityofdanecan . <br /> two To PROVIDE PROPERTY OWNER INFORMATION . <br /> • r s Dn...ff.! . ;CSM <br /> oww R BP) <br /> ., PHONE E-MAILADORESS s plan drawn 8 <br /> Witincludes ins <br /> �I, <br /> AGENT INFORMATION CONTRACTOR INFORMATION <br /> CONTRACTOR NAME <br /> 111 , � <br /> � �. V` 1 Ian k ADDREss 4.111' of - <br /> (City.ma.SIP) (City.IndM.ZIP) iron• <br /> PHONE PHONE / . <br /> E-MA LADDRESS , . E MALADDFESS ■ . . plans to SC <br /> PROPERTY LOCATION INFORMATION (http: occessdane.eo.dnne.K0b00s') Z Elevation ofpro � <br /> Pe e. <br /> _ ACREAGE <br /> ❑ 7§81. -di.6 • "0 ❑ , . . permits <br /> TCtVVNa11P , 1�� V V %14: ! i county,1D ') - <br /> ADORERS: <br /> /g. P A_If ; , 0 W ' • i; <br /> CSM: -Willill ( <br /> LOT C -LtC\ di 1. 1 • <br /> PROPOSED PROJECT INFORMATION <br /> - -;a = r ■1 <br /> n project is a new building or structure. <br /> SANITAtiYSERVICE: PERMIT NUMBER: . <br /> CISIRVER OsePnc <br /> HEIGHT N FEET ' S ( ' :,, tiIA BER OF STORM,( Waning) <br /> AREA TO NEAREST SQUARE FOOT: grade decks or P � <br /> (Outside dimensions Including unl d area,attached garages and <br /> i�-��,�,,., r • <br /> . 101=1;. . 21311 <br /> 3RD FLOOR Ii Cy! <br /> ESTIMATED CONSTRUCTION COST: ♦ -► .. -+-► -► -► LU 0 1 <br /> (Please round to nearest dolt) <br /> � pon'tknOw <br /> • <br /> or 1000 feet from a pond or lake? ❑.Ks ) Don't't know <br /> 1. The.properly is within 300 teat of a strum ❑ No <br /> caZ 2. Is there a wetland orfloodplain on or near the property?...................'..................... ❑ <br /> .3. Have you talked with the township about your project and are they in agreement? • <br /> issued for this property in the past 5 years? ❑Yes <br /> 4. Has there been a zoning permit � blanic N none) <br /> 5. Is this project associated with a rezone/CUP/wtiance(petition/appeal#________) ❑�p p Don't know <br /> C <br /> 6.Is a locatlOri survey required? (see reverse) <br /> .. • <br /> 7. Is this to correct a violation? <br /> -........................... ❑rtes <br /> MUg,T BE SIGME . <br /> • (fin en a. ) -► -► <br />