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• <br /> DANE COUNTY ZONING DIVISION <br /> • <br /> CITY COUNTY BUILDING, RM 116 ;tit <br /> 210 MARTIN LUTHER KING,JR. BLVD. <br /> MADISON. WISCONSIN 153703-3342 <br /> PHONE 266-4266 FAX 267-1540 <br /> t'a'1ati3 <br /> www.countroftlanccom/zoning <br /> ZONING PERMIT CHECKLIST <br /> • <br /> PLEASE FILL IN AS MUCH INFORMATION AS POSgIBL,E. <br /> 1. LANDOWNER: V 4 k.t Of 111-fJ 410n4l16 L L� AsENT, <br /> ADDRESS:' C (a r 5Oi —thaw DV ADDRESS: <br /> \CL/(SdY\ I WT- S3713 <br /> PHONE: (o() cep PHONE: <br /> EMAIL: EMAIL: <br /> 2. TYPE OF PROJECT: $ 1-1' 1 V eho eon EJkf kC✓ <br /> ESTIMATED COST OF CONSTRUCTION: $ l`? 2. � s1ructure plus mecha,;ca/s) <br /> 3. ADDRESS OF PROJECT, IF KNOWN: 13(1t.( Laki Re-( 1-411)t„-12- <br /> 4. LOCATION OF PROJECT: � �. .� <br /> TOWIVS/%P,SECTION 1/4114 <br /> TAX PARCEL NUMBER <br /> SUBDII?SION G CSM M(Certifkd S4rvey Map,),1FANY• G fg-ik C P \11)VJ <br /> LOT NUMBER,IF ANY:: Of Y0 <br /> 6. ZONING DISTRICT: <br /> 7. SITE PLAN: *A site plan must be drawn to scale showing the lot lines and lot dimensions, the location <br /> and size of all existing and proposed buildings or additions and their distances from <br /> lot lines If the lot Fnot served by public se er, the location and size of the on-site <br /> septic system and the location of the well shat/be shown on the pan <br /> Example of a Site Man on rtlifIVS. <br /> 8 FLOOR PLANS AND ELEVATION VIEWS(front, sides, roar): A copy will be kip?In Zoning Division files: <br /> Examples of floor Plans and Elevations attached, <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? PLJO.- .-Ci <br /> STATE SANITARY PERMIT NEEDED? N IF YES, PER/A.Tr X 0Zd QO.3 So <br /> APPROVAL FOR.ADDING BEDROOM OR i 25% AREA NEEDED? Y IF YES. PROVIDED? Yg <br /> 10. DRIVEWAY(or Culvert or Access)PERMIT NEEDED? Y/ N IF YES, PROVIDED? Y <br /> Many Towns require a Driveway Permit;County Hi 4way Department or WDOT permits may be required for <br /> aaways with access to a County,State or US Highway <br /> 11. SHORE LAND?•Y ip FLOODPLAIN? Y(9 WETLANDS Y <br /> 12. TOTAL AREA OF LAND DISTURBANCE(Square foot) <br />