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ZONING PERMIT APPLICATION .countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> YO Or. ./i t I i .4. i_ ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,S a e,Zip) Deed Restriction;CSM <br /> J a / ' / / tJ .li X111 i Variance(# ) <br /> HOME'HONE I. E-MAIL Al DRESS <br /> I' 2 60 `/6 4'Vail C.' A ®' Putt ." ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> CONTRA'TOR NAME <br /> ligalarAIMML_.■- Pk- ' .01A-As- ❑Site Plan including location <br /> A ENT ADDRESS CONT-•.TOR ADDRESS 1 of well/septic <br /> al" •. [l, V 4 01, ' i <br />