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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Bridge Properties LLC (Jody Lindsey) C Z. <br /> 0 Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) R eed Restriction;CSM e3 O C <br /> N3935 COUNTY HIGHWAY J MONROE WI 53566 Variancel• ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS �---- <br /> (608)516-6132 Jodyl©windowcenter.com ODA Site Plan drawn to scale '44110 r <br /> AGENT INFORMATION I CONTRACTOR INFORMATION r and includes dimensions f G <br /> AGENT NAME CONTRACTOR NAME <br /> Grant Signs(DP Industries LLC) ra Site Plan including location ' ;,,' ac oh" <br /> AGENT ADDRESS CONTRACTOR ADDRESS •f well/septic <br /> 2810 Syene Rd. S0 S/! <br /> (City,State,Zip) (city,State,Zip) ❑Setbacks /S <br /> Madison,WI 53713 <br /> PHONE PHONE Site Plan approval from <br /> (608) 838-7794 applicable township. <br /> E-MAIL ADDRESS E-MAILADDRESS 1 r <br /> Dan©GrantSigns.net A Floor • -• • -le <br /> r4.• Ni <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ,j Elevation of property <br /> ❑PARCEL 038/0708-253-0140-6 C-2 0.65 1111111111 frontage drawn to scale. I <br /> NUMBER <br /> TOWNSHIP: SECTIO I� i� <br /> Middleton '/4: 5 k I wit: �� Driveway permi <br /> ADDRESS: (state,county,ZIP <br /> 6524 Seybold Rd. Middleton, WI 53719 <br /> ,∎ S-►.„- permits <br /> V( t^1 2 5 4- S C e '., e.,,. ,.ex 1 ,ti. <• private) <br /> PROPOSED PROJECT INFORMATION '}; `1'1 `-' jTa�/ 1 <br /> PROJECT DESCRIPTION: / / <br /> Reface lit cabinet sign on front of building. 2_ o . S ,,C _ <br /> This project is a new building or structure. .j/t/” /( c I' S tom. , <br /> i d This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVI : PERMIT NUMBER: 1. " i .171A+ iz.: <br /> N <br /> R �EPTIC ic: M iI.�;i <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) 1 / <br /> 1CAr-5 P't1 1(l s i1d �11eC l l/ <br /> ,lily -1, it, l (d l P -;� <br /> • TO NEAREST SQUARE FOOT <br /> (Outside dimensions Including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: 1 i 1r,i �, [iii f v 11111% <br /> / 4, SQUARE FOOTAGE: 1 C I s -0t l a? • <br /> •91ifTr it 1, '(-,.h �.1 <br /> 2ND FLOOR: 3RD FLOOR: <br /> 100.0 <br /> i 1 lK'llhl 1,r l� Ito ,'+�s�3.�. <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ g fc( v ijrj9��`4.?1,Aa .i • It <br /> (Please round to nearest dollar) $ 4,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes 111No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes JNo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes ❑No <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 NI No DDon't know <br /> 7. Is this to correct a violation? [Yes ❑✓No <br /> APPLICATION MUST BE SIGNED <br /> 545-112( ) (Continue on Back) —* —► —o. <br />