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.SUPPLEMENT to Web-App* <br /> ZCNNG PERIVIT APPUCATICA wvilvitcoP.ritem , <br /> PROPERTY' OWNER INFORMATION CUSTOMER TO PROVIDE k <br /> CASNER ktAIVE <br /> Scott Lee <br /> 1-6-WtIEFf.J....„Or-c,S=. ,'.‘4,„,:re,.. 9:-..,,c C.,,,,, Stx.b,,Zr„A •Res.triMinni CSNI <br /> 9491 Union Valley na Black EstrL WI 53515 <br /> :tit WS 111 Arti 7.2.:1 ;1-ZINI li MNi.04.Y..341-4Ki „mv- <br /> (&s)71P-CtriRE i sixillyleeMalspnelleom ig(Ste Plan drawn to 1...es-aii. <br /> AGENT INFORMATION CONTRACTOR INFORMATION and indutitz dimensions <br /> .our NAVE C:(.0171Z&r:Trxtf.NAJAF <br /> Scott Lee c Plan inriuding kocatiun <br /> r AL"S'Arcr... :,:r.riv-V4...:Ittf.4 N..3.)141..dt.4 '00,"S&AlSeDtie <br /> 9491 Union Valley Rd <br /> Ksit.•,..t ir, ;;;;-tv.State.Zi (Set <br /> 1 Black Earth.Vvi 53515 <br /> i 4V?V IONL. L'IG Site Nan appnoval from <br /> (608) 712-0589 a. bettowastr„..). <br /> cw4LAcc.r_3::5 ,F-1,44LADOR:FS,S <br /> scotty4ee84.T.grnaii.com dlocv elan*to scale <br /> PROPERTY LOCATION INFORMATION (hftp:baccesedane.co.darte.wLea) <br /> il,Ne....4.7- ;PAR,,,,,a.lteNE ....IRRENitTnYkdbie ACRIENOE EteItatiOn Of p .t'lINerNi: <br /> n pmica. . 07074373-85C04 P112 7.66 frortMoe drawr to scale. <br /> 1-1 tklAKR - <br /> rt7,4114St-IP- '..,1“7-40,4 ( <br /> Ttrarn Of CAWS Ptak* 7 :4: NW ,,,,41,4„. syv Driveway perrill'a if.\..... ,,„, <br /> -.s,t2t.e_wumly,town,11/4.1 ( -y <br /> 0.,:,C,FiEhrti <br /> 9491 Union Valley Rd c),k- LA' <br /> 0 sa. .,, <br /> 1 , <br /> PROPOSED PROJECT INFORMATION STAFF REV'1EW <br /> fv,9t0„,..r-ftTM.4:1,111trs It4‘_ <br /> c i v■_ 5 C-g- 0 Zoning Dist= <br /> . 12 This project is a new building or structure. 'D Penrnated(Ise? <br /> El I hi&`-pry is an add/Von:alteration to an ox,istirig beikling or struilere. <br /> SE.F-S,tCE, :PERIINT ff 4.14EER s' , ACICtateSS <br /> EV-ASP- E VP71.:. I) <br /> t <br /> .,r1.ft N'Fr!--i- ii iiirtrn:%r t7tORTFT, ,:t,ltt i-vatA t.a;:t4trotrsoel I <br /> 22.0 1.0 0 weitandfk-xxiptairy <br /> Sod (attachment) <br /> AttEA TO N't..k-itS1 :-.IQOA/-lt,I-(>U <br /> iOut-,i.-,c climcnsions wi,-,:k4.-r..3 nnt.nd ara.-2.attddt^.ctri gar:var.and anaurt grand narkt;at pcfrilcs, Li .. oi it <br /> 0 ,........._ .....„. <br /> 2, . 4 TOTALSMARE FCCerAGE: 4, VP.MARP,ur-AtebtlEnt <br /> 11409107;=Z) <br /> 1,tt.t4 2p5-75:-0 <br /> ,Li Review LOCatiOt)Surve <br /> ESTIMATED CONSTRUCTION CCZT. -mid avDniatie etptioor. <br /> Flew,*Ax44:1 to .r.<=r4est 101410,q -4" -4' -. -4' -.' $ 250 000_00 <br /> , <br /> AISIMINIVINIMMIRN <br /> 1. The property is within 300 feet of a stream or 1000 ice(from a pond or lake? . Efrft,. Din Erion't know <br /> 2. la there a'reagend or fteociplasn on of near the property"' D 12 .. DZion't know <br /> 3. Have you talked with the township aboit your project and are they in agreement?. .. Dye:s. a <br /> 4. Has there been a zoning permit visiee iOr this property in the past 5 years.?............. Ofes ao <br /> 5. Is this oro/ect associated with a rezonelCUPIvariance footiliontappeal# ) ',leave hind*rf none) <br /> 5. IS a tOCat:OO survey fertitlred? (see reverSel [Yes ao EiDon't cnvii, <br /> 7, Is this to rincre,./a vlellaapril ElYi. DO <br /> t <br /> C'2' <br /> -V) APPLICATIoN RUST BE SIGNIFo <br /> (COMInuo an Back) -4, -. -,s- <br />