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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME ORLANDO PARTNERSHIP C -- <br /> OWNER ADDRESS (Number,Street,City,State,Zip) I Zoning Status;CUP; �� <br /> Peed Restriction; CSM <br /> 2226 SR 580,CLEARWATER,FL 33763 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> AGENT INFORMATION CONTRACTOR INFORMATION ►_/ Site Plan drawn to scale <br /> =nd includes dimensions <br /> AGENT NAME CONTRACTOR NAME rIw <br /> STEPHEN FRANKLIN ABLE SIGNS&LIGHTING 10 Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of wellismOie <br /> W8246 N CRYSTAL LAKE ROAD W8246 N CRYSTAL LAKE ROAD // <br /> (City,State,Zip) (City,State,Zip) ,a Setbacks / <br /> BEAVER DAM,WI 53916 BEAVER DAM,WI 53916 <br /> PHONE <br /> I0 Site Plan approval from A�1 /(920) 344-6566 PHONE (920) 219-9557 applicable township. / irk <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SFRANKLIN @ABLESIGN.NET SFRANKLIN @ABLESIGN.NET 0 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wl.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 0709-343-0454-6 C2 41i ?I 2I frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> MADISON 34 1/4; NE +/41/4. SW U I riveway permi <br /> ADDRESS: (state,county, ow. <br /> 2202 W BELTL NE HWY <br /> permits <br /> CSM: LOT / SUBDIVISION BLOCK/LOT <br /> 14 J` WHALEN PLOT • ,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: / <br /> NEW FACES IN PYLON IGN&INSTALL 2 W L SIGNS '> >C I G fj . 3 G ;p y"o n FS Zoning District C' — Z/ <br /> ❑This project is new -a 4e. 'Z c/X 3 , > 'ic / w/� 1 9 LI 2 <br /> ,') Permitted�se <br /> OThis project is an addition/alteration to an existing building or structure. S' ‘J V i- I1 S I f w. <br /> SANITARY SERVI E: PERMIT).JAAREF: rf rt 0 Rural A s <br /> EWER EPTIC 5 D( 2,7 I( f) F ICJ (new/ Intl <br /> HEIGHT IN F ET / /'/ NUMBER OF STORIES: Not incudin base 3 lcP ( 1.0 9 basement) ,Wetland/Floodplain/ A, ,4 <br /> Shoreland (attachment) �1 <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) {��rosionControl permit <br /> BASEMENT: ` 1 F 6'�^� j / <br /> 1w/ TOTAL SQUARE FOOTAGE: + (slopes,disturbance, /� 1 <br /> 2ND FLOOR: 3RD FLOOR: �^'� f �.e .. , �✓• <br /> ESTIMATED CONSTRUCTION COST: (• -eview Location Survey r <br /> and available o tions. ,J <br /> (Please round to nearest dollar) -+ ♦ ♦ ♦ ♦ ♦ 15,000.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Yes ❑No Don't know S T L <br /> ['Yes <br /> 2. Is there a wetland or floodplain on or near the property? Des ENo � <br /> Don't know -'" <br /> 3. Have you talked with the township about your project and are they in agreement? QYes FNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes ig No <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) [Yes ONo 4Don't know <br /> 7. Is this to correct a violation? [Yes IN No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► - -► <br /> 545-112(4/08) <br />