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75_ qg 2___ S e.)"-6 e 1 <br /> SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com 2, <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Diesel Truck Driver Training School Inc c Z <br /> lit Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State.Zip) Deed Restriction; CSM ns„ <br /> 7190 Elder Lane Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)354-0765 john.k @atsdigs.com fl Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> La Crosse Sign Company 0 Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS .f well/septic <br /> 1450 Oak Forest Dr 3 30 1 <br /> (City,State,Zip) (City.State,Zip) Setbacks J / <br /> Onalaska,WI 54650 <br /> PHONE PHONE ,Site Plan approval from <br /> (608) 781-1450 appli -- - : • hip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> matt.garves @lacrossesign.com Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: 0 Elevation of property <br /> ❑PARCEL 0911-231-88: -3 C-2 /5-, O 6j •nta•e drawn to -. <br /> NUMBER <br /> TOWNSHIP: ST 30_ 3 SECTION: ' / n�Q <br /> Bristol 23 1/4: NE x/41/4. N/k 14 Driveway permi <br /> ADDRESS: "�(state,county own) <br /> Elder Lane / / 3 Z <br /> CSM: LOT SUBDIVISION BLOCK/LOT (Sanitary;• --�It--�ItS <br /> �_ (public, '�i11 D) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> " igh x 38'wide x 6"deep, internally lit wall sign <br /> 2'6 Zoning District <br /> . �Thhis project is a new building or structure. Permitt d Use? 5/ <br /> This project is an addition/alteration to an existing building or structure. all c,( 5 <br /> SANITARY SERVICE: PERMIT NUMBER: Rural' - <br /> EWER /EPTIC (new!ainlo <br /> HEIGHT IN FEET: ' /� NUMBER OF STORIES: (Not including basement) <br /> loodplain/ <br /> More a (attachment) <br /> AREA TO NEAREST SQUARE FOOT <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> Pit <br /> BASEMENT: 1ST FLOOR: ErosionControl permit ii <br /> j TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, f <br /> 2ND FLOOR: 3RD FLOOR: filling/access) A'L <br /> 95'0 Review Location Survey <br /> ESTIMATED CONSTRUCTION COST ♦ ♦ --► ♦ -+ and available options. <br /> (Please round to nearest dollar) $ 14,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? DYes ✓No EDon't know <br /> 2. Is there a wetland or floodplain on or near the property? DYes ENo 15I Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? M ANo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ONo <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) DYes JNo QDon't know <br /> 7. Is this to correct a violation? DYes ao <br /> /or L /W /(�I 9_, ( APPLICATION MUST BE SIGNED <br /> ( (Continue on Back) —► <br /> 545112l4/08) ,,fi�nn l 261 <br /> rvc �� 'y�� <br />