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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY RTY OWNER INFORMATION CUSTOMER TO PROVID <br /> OWNER N ' <br /> Harley-Davidson of Madison <br /> OWNER ADDRESS (Number.Street.City.State.Zip) zoning Status;CUP; ' 5-2 2 <br /> 6200 Millpond Road,Madison,WI 53718 Deed Restriction;CSM <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> � "J <br /> (608)221-2761 <br /> ,A Site Plan drawn to scale 0 <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Grant Signs(DP Industries LLC) AI Site Plan including location 'V <br /> AGENT ADDRESS CONTRACTOR ADDRESS sf welVseptic "/11 4 1° <br /> 2810 Syene Rd. <br /> (City.State,Zip) (City.State,Zip) Setbacks /0 12 <br /> Madison,WI 53713 <br /> PHONE PHONE Site Plan approval from <br /> (608) 838-7794 a•: • _. at•,,,,:: .i <br /> E-MAIL ADDRESS E-MAIL ADDRESS ' <br /> Dan @GrantSigns.net ■.d Floor plans to scale / <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ro ' <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: Elevation of property ert y 1o �p <br /> QPARCEL 008/0710-261-0445-3 C-2 7.22 rontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION- �-+ 00 1-- <br /> Blooming Grove 2(0 1/4: N£ 1414: N£ 1i�� Driveway permit <br /> ADDRESS' (state,county, Wr1 /(2 <br /> 6200 Millpond Rd., Madison t <br /> USa itary permits /( 7 C <br /> csM: gro /1 LOT SUBDIVISION BLOCK/LOT ;+�. �: private) / 2' <br /> PROPOSED PROJECT INFORMATION STAFF REIT* • /// ir <br /> PROJECT DESCRIPTION: `j„ (i <br /> Update channel letters on 2 elevations and 2 wall signs on tower. <br /> oning District <br /> ❑This project is a new building or structure. Permitt Utse? 'S� <br /> • <br /> 12 This project is an addition/alteration to an existing building or structure. Cc L <br /> SANITARY SERVIC : PERMIT NUMBER: �Ru • 's'i` <br /> EWER E)EPTIC -------- (new Z2., <br /> HEIGHT IN F T NUMBER OF STORIES: (Not including basement) <br /> XVVetland/F(oodplain/ <br /> Shoreland (attachment) <br /> AREA T• ■ •._.-- <br /> (Outside dimensions including unf. area,attached garages and ab• e grade decks or porches) Eros ionGontrO(permit I <br /> 1 <br /> BASEMENT: 1ST FLOOR: • ,`. slopes,disturbance, <br /> Z Amor �. <br /> 2ND FLOOR: :DFLOOR: 2-0 • 1 <br /> ►"4 -eview Location Survey <br /> ESTIMATED CONSTRUCTION COST: 27,000.00- and available options. <br /> (Please round to nearest dollar) ♦ —' -+ ♦ $ <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes ✓JVo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes ,No QDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes EiVo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) Dies Jo QDon't know <br /> 7. Is this to correct a violation? QYes EIVo <br /> APPLICATION-MUST-BE-SIGNED <br /> (Continue on Back) ♦ -► <br /> 545-112(4/081 <br />