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SUPPLEMENT to Wrb-APP # <br /> ZONING PERMIT APPLICATION wr w countyofd . <br /> PROPERTY OWNER INFORMATION <br /> comma To Ito <br /> OWNEX � <br /> V <br /> 1 of m Ime s1 L- <br /> L C___ . ►o�g Skew;cam; <br /> ��tfeed Restriction;Csbt <br /> ar �� NE. ��. , C_ ► <br /> Variance to__.� <br /> ..►' CM in scale • <br /> AGENT INFORMATION !CONTRACTOR INFORMATION includes&Wilms <br /> • T715 h ()ye. <br /> ADO 5S Vi <br /> CONTRACTOR ADDRESS v <br /> (aht.Milk. <br /> w�44 Fr*MM.MP) <br /> Gl, backs v <br /> • D She v' 20m• <br /> ►saaorssa a"!"a n°aoass LJFlr P is e � <br /> PROPERTY LOCATION INFORMATION (http: -Iecr-:r,d:3ne.r_o.d;1nc.wi.usr) / Of <br /> e ,r �2-Elwa►lon Prop� Y <br /> 0 Rom MEW nearns=R ,� .home drawn► <br /> a • ..• +�• tW/: 0;tiati <br /> town) <br /> ' • i <br /> . CPA: .I'1.,C., OLOCKLOT (f,PriVata) . <br /> L°T-7 <4- M Oa QIC(' • . <br /> •ROPOSED PROJECT INFORMATION <br /> PROJIECCOTION. ) i . • <br /> �! i 1 • [1... 1► /A..- <br /> IA- : pmt is a new buUding or structure. • • <br /> M C is <br /> H EIGHT PI FEE .....,, NUMBER OP t <br /> AREA TO NEAREST SQUARE FOOT. a decks**Parch") <br /> (Outside dimensions inducing udinished eras.Minded WWI and above to J jc2LS <br /> • ;. . <br /> • <br /> . 13;40 d1kflOW <br /> Is within app feet of a stream or 1000 feast from a pond or lake? 0 t 1O <br /> 1.The.property � ❑No ❑Deft know <br /> 2. Is there a wetland orttoodpiain on or near the property? ONo <br /> 3. Have you talked with the township about your project and are they In agreement?.... <br /> 4. Hai there been a zoning permit Issued for this property in the past 5 years?.........-.. • ❑W. OWN° <br /> 5. Is this project-associated with a rezone/CUP/variance(petition/appeal# ____'-) (igsve blank If none) <br /> ,�i,� o (�pon't krna�w <br /> B.•is a kKSdion survey required? (see reverse)..» w❑aYis � • <br /> T. Is this to correct a violation? <br /> APPLICATION WWI BE StONED . <br /> . (Continue on Mat) "'e "P <br />