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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to;6-App # <br /> /S <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Diesel Truck Driver Training School Inc _ Z <br /> Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State.Zip) eed Restriction; CSM : /S <br /> r � <br /> 7190 Elder Lane <br /> HOME PHONE CELL PHONE Variance(# ) <br /> E-MAIL ADDRESS <br /> (608)354-0765 john.k @atsdigs.com ' <br /> 'I./ Site Plan drawn to sc- = <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions 6 Q <br /> AGENT NAME CONTRACTOR NAME <br /> La Crosse Sign Company , ►1 Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS •f wseptic <br /> 1450 Oak Forest Dr �°�ell/ <br /> (City,State,Zip) (City,State,Zip) /a Setbacks 3 3c S <br /> Onalaska,WI 54650 <br /> PHONE I PHONE ,i Site Plan approval from <br /> (608) 781-1450 B ahl- ownship. . <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> matt.garves @lacrossesign.com 107 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) �, <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREA /kl/ Elevation of property <br /> ❑NUMBER 0911-231- 1-3 C-2 � o� - - e drawn to <br /> TOWNSHIP: SECTION: <br /> Bristol OL5-3 '..-3 23 IA: NE /4%4: Nft 0 Driveway permit <br /> ADDRESS: (state,county, ow <br /> Elder Lane ?/ 3 Z <br /> CSM: LOT SUBDIVISION BLOCK/LOT 10 Sanitary p� its <br /> (public, ) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: / _ / <br /> 4' single-sided, internally lit monument sign 2 x 3 K �3 X) Zoning District �" <br /> This project is a new building or structure. 0 3 2'' L <br /> in /,a) Permitted Use? <br /> This project is an addition/alteration to an existing building or 0 v-I 6 <br /> SANITARY SERVICE: PERMIT NUMBER: Rural Addr-ss <br /> EWER EPTIC (new/'�."16�11�:i)i <br /> HEIGHT IN FEET: i NUMBER OF STORIES: (Not including basement) �•' <br /> l Wetland/Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT. / ore an• ttachment) <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) <br /> i4,ErosionCoritrol permit <br /> BASEMENT: 1ST FLOOR: 35- ,. <br /> _> j TOTAL SQUARE FOOTAGE: + (slopes,disturbance, // <br /> 2ND FLOOR: 3RD FLOOR: 3 5 •-287e---' �V / <br /> ❑ Review Location Surve <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ and available options. • <br /> (Please round to nearest dollar) $ 8,500.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? DYes ✓❑No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ENo QDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? M ✓Qblo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ❑No <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) ['Yes ENo DDon't know <br /> 7. Is this to correct a violation? ❑Yes ✓❑No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) —0 —0 <br />