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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 /> My 2nd Garage Storage- Jeannie Kowing ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 2275 McCoy Rd. Sun Prairie WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)225-1914 Jeannie @Jeanniekowing.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Grant Signs(DP Industries LLC) ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2810 Syene Rd. <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Madison,WI 53713 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 838-7794 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> Dan @GrantSigns.net ❑ Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑ Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 014/0810-121-9315-9 C-2 0.66 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Burke 12 V: 14/4: SWo(the NE ❑Driveway permits <br /> ADDRESS (state, county,town) <br /> 2275 McCoy Rd. Sun Prairie WI 53590 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public, private) <br /> PROPOSED PROJECT INFORMATION >," . T REVIEW <br /> PROJECT DESCRIPTION: - N�.c,�1\.,:" i �, <br /> Remove existing sign- Install new Double faced pylon sign T^JP.t n e L ;, , <br /> . 12 This project is a new building or structure. 1.1/2 t,VAl <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: . !l t t 4 `o m�', ;_ <br /> EER PEPTIC " g) <br /> W <br /> 2 Q is <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) � � .®.� <br /> AREA TO NEAREST SQUARE FOOT: ,r",�_< : ,. i; ,,,' 43;1 ti <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) h � v 1 <br /> roslo Go opeI _ t, <br /> BASEMENT: 1ST FLOOR: <br /> TOTAL SQUARE FOOTAGE: / slopes Itl��a. ce <br /> j .4 fil�in access �#��� <br /> 2ND FLOOR: 3RD FLOOR: �e r * ?`.. F YT; •V " <br /> 60.0 s:ae. : 4 ,: y <br /> 74Revlew Location,Survey ,. <br /> ESTIMATED CONSTRUCTION COST: '�d` �J�tlable�`t QAi <br /> (Please round to nearest dollar) .+ ♦ ♦ ♦ ♦ $ 12,210.00 E,, F,' . a r+ ` ,11, :' <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes '4No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes C:INo ['Don'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 '4No <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 rNo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes FdNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► —► —► <br /> 545-112(4/08) <br />