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• <br /> . • . <br /> SUPPLEMENT to Yib-APP <br /> ZONING PERMIT APPUCATION www.countyoidanexam <br /> / • <br /> PROPERTY OWNER INFORMATION <br /> Cf NAME • . <br /> CU • ER TO PROVID <br /> mNER E <br /> e_ k J • „ il a VPC t-- L. C_ ■ . .Status;CUP; <br /> OWN ER .. . (Nunibs4 Ntot.CIY.ONN.,_,E Deed Reakiction;CSM <br /> 4110 ha I ^ 537 13 <br /> , o,ee t.i Oh . Ei ,, • of E *dance(11_.-----/ <br /> • EPHOSE Cal.PHONE EMAIL=NESS i <br /> /C61". . ,*3ICO r <br /> 4its Plan drawn 10 scale <br /> - <br /> AGENT INFORMATION CONTRACTOR INFORMATION iind?OdOdOS dilOOSIOnS <br /> CONTRACTOR NAME <br /> &7-4"Mprgir <br /> OiSite Plan including location <br /> CONTRACTOR ADDRESS Of WOW* <br /> : . <br /> Pty.Swap) pry.ado.as hiSetaadle . <br /> mow mow . • 0 SICio Plan I from <br /> SMAILAOOREAS E4AALADDRESS ;(Floor plans to scale <br /> PROPERTY LOCATION INFORMATION (http accf-,sdane co.d3n4. wi us ) 'I BOVatiOn Of PTOPertY ._ <br /> AMBIT PARVA.NUMBER t CURRENT•• _ r‘ frontage drawn to scale- <br /> r] PNIC21.• GY e) . 41_ - 0 •.0.0 t ^62 .. <br /> Towiar: . k k <br /> V ill • S 01' 711. 1/414:__ __ ) <br /> . 0" <br /> ADORE% ,...., ,------ <br /> • 1 ai,2-K/ Alr-..:.:..e/ 4(-) '‘'-e 11! SPINY Permits <br /> LOT • , . /PLOCKILOT OA*,POMO) <br /> MEMfti, / lP7- <br /> PROPOSED PROJECT INFORMATION <br /> PROJECT OENCRIPT1011: <br /> 1 I <br /> — , -il <br /> . . <br /> . 0 This project Is a new building or structure. .V\J / b e-Q- A <br /> - . . <br /> PERMIT MAABER5 , , <br /> "Nrim"7...., 0 gam - to <br /> MIGHT Pi FEEE 1 ty.0....- NUMBER OF STONIER I(Not Including booment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions Include;Menished area,attached garages and above grade decks or porces) <br /> k a 4 7-l= 1ST FLOOR: <br /> , 4,TOTAL MANE FOOTAGE 4, <br /> , . -r;'• IRD R.00R: <br /> e a WS_ oll <br /> A.— <br /> ESTIMATED CONSTRUCTION COST. 0 D <br /> (Please round to neareetdokr) "P "+ -+ -* -11` "'• • X9,2 5-0 l <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake?........... 0Yes 113te C3 Dail km° <br /> [3 Don't know <br /> 2. Is there a wetland or floodplain on or near the property?............................................ 1:3Yes <br /> 3. Have you talked with the township about your project and are they In agreement?.... ( Yes 0 <br /> No <br /> 4. Haters been a zonkg porn*Issued for his property n the past 5 years? ........ GYes EtNo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal#________) (Ira bkinkdonone) ' know <br /> 6.Is a location survey required? (see reverse). ................ 13Iyes [3 Dont <br /> 1. Is this to correct a violation? ........................... °Yes alio <br /> qa 3 -5O .......1111111-1r RE SIGNED <br /> (Cathie.on easillia -• '+ "4' <br />