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DANE COUNTY ZONING DIVISION <br /> �, <br /> CITY COUNTY BUILDING, RM 116 C1 �: $4� <br /> 210 MARTIN LUTHER KIN G, JR. BLVD. y <br /> MADISON, WISCONSIN 53703-3342 <br /> PHONE 266-4266 FAX 267-1540 '''i-44:70101 <br /> www.co.dane.wi.us <br /> ZONING PERMIT CHECKLIST <br /> v TOWNSHIP: B✓ Tr-CD L <br /> �2 LEGAL DESCRIPTION: <br /> PARCEL# U 1 It 3o I G <br /> LOT# 4 O 7 ( ( <br /> C.S.M.or PLAT SC--C9 7-7 if H-7 t ,4 ✓ j ,-/2-g /6)-00, <br /> 3 ZONING DISTRICT: 8 <br /> TYPE OF PROJECT: S,F, (L- <br /> 5 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 is not served by public sewer, the location and size of the on-site <br /> septic system and the location of the well shall be shown on the plan. <br /> Example of a site plan on back side of this form. <br /> 6 FLOOR PLANS AND ELEVATION VIEWS: *I copy of floor plans will be kept in the Zoning <br /> Department files. <br /> STATE SANITARY PERMIT: or GO or N/A <br /> (approval letter from bane County Enviromental Health - 608.242.6515) <br /> SHORELAND/WETLAND/FLOODPLAIN: A or CN/A j <br /> 9 VEWAY/ACCESS/CULVERT PERMIT: A or N/A <br /> *Culvert or access permits from the appropriate highway <br /> authority, if applicable,shall be included with an application <br /> for a zoning permit. <br /> 10 ESTIMATED COST OF CONSTRUCTION: 6,ce0 ' sc( <br /> *Cost which includes the structure and mechanicals. <br />