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DANE COUNTY ZONING DIVISION <br /> csTY CouNTY Itx1C0H9, NA s16 I' 5 <br /> tao M <br /> AX=WAWA OM.ZR.O <br /> MADISON.WXCCNSIN 53703-3642 <br /> PHONE 266-4266 FAX 167-1510 -.3'"F "'d'-..'- <br /> ZONING PERMIT CHECKLIST <br /> 1. LANDOWNeIt: iglu Dsa l 1►G mew <br /> ADDRESS: ADDRESS: <br /> PHONE: Tomb . 21... 31 del PHONE: <br /> EMA3: EMAIL:• <br /> 2. TYPE OF PROJECT: • S <br /> $ , '' M/ <br /> ESTIMATED COST OF CONSTRUCTION: (Structure plus modfeekele) <br /> 3. ADDRESS OF PROJECT.IF ICNOWNs -----D-kLLOL/121L°:Lti/441 <br /> 4. LOCATION OF PROJECT: <br /> TOWNSHIP;sHna►4 1/41/4, rs W NJ 0 P \J udreg pjf∎e — <br /> TAX Mai WAINER <br /> usonr5sL'TV OR CSN 0(Certihrd Slimy M d IF ANY: rffi 'r', <br /> LOTMANSEe,If ANY: A 5 7 <br /> 6. IONQNS DISTRICT; <br /> 7. SITE PLAN: *A site plm oust be drown to sale Shosdrg the bt lines end bt ckne elope, the bcetion <br /> and size ofallwds hap end propeNd began,cr adclitlens end deli►'a from <br /> bt lines if the bt is not served by public sawn the bae ke and size of the on4ttie <br /> • sgotk*item and the location of the well doff.be shown on the plan. • <br /> i Emma of a She Ike as nrwrsr. <br /> d FLOOR PLANT AND ELEVATION VIEWS(Emit des. nod A epryl The kept MZs p Divisive fest <br /> Exemides of Mee'peer end Slevetk m etrecheet <br /> A <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC <br /> STATE SWAMI/MK P ?47, - (D1I4L N IF WIS. FEIRMIT M <br /> APPROVAL FOR ADDU 2*BROOM OR s 25%AREA tom? Y/Q IF YES. PROVIDED? Y <br /> 10. DRIVEWAY(Sr Culvert or Muss)PERMIT NEEDED? V OF YES.PROVIDED? Y/(Ni <br /> Marry Tasntkrryie a&hawPna• h' by tM a <br /> l. :; <br /> ?or WDOTpeits may be tweaked far <br /> der pith access to a Awerty.Slate or US <br /> Y WETLANDS Y(E)11. MORELMD? 0 0 • <br /> .• "-rm.. .sc.AC I a&t Ift57iRIANCE C <br />