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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 /> Neptune 5 LLC 10 Zoning Status; CUP; C— a <br /> OWNER ADDRESS (Number,Street,City,State,Zip) I eed Restriction;CSM /0 S <br /> 2908 Syene Road Madison,WI 53713 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> Site Plan drawn to scale' <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions /l <br /> AGENT NAME CONTRACTOR NAME T I ^ <br /> Brian Winzenned Grant Signs(DP Industries LLC) Site Plan including location / f' <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2908 Syene Road 2810 Syene Rd. �S.I 0 /` <br /> (City,State,Zip) (City,State,Zip) SetbacKs 7/ <br /> Madison,WI 53713 Madison,WI 53713 <br /> PHONE PHONE jgf Site Plan approval from t,//4_ <br /> (608) 729-4773 (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 t Si <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 032/0709-353-9900-5 C-2 2.43 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SE O . <br /> • Madison 1/.: 5 141 '/%: S 6_ x Driveway permit <br /> ADDRESS: (state,county, ow <br /> 2908 Syene Road Madison, WI 53713 q v <br /> r�-► ry permits <br /> CSM: 3,114 LOT 2 SUBDIVISION BLOCK/LOT (41, ,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: C—Z/Q 5te3 <br /> (1)Non illuminated wall sign replacing existing wall sign(1)Painting existing awning Red and applying new vinyl graphics to front face ikfZoning District <br /> . ❑This project is a new building or structure. ? 2 1°14- (f <br /> Permitted Use? <br /> d This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: V"C Rural Ad•_-ss <br /> EPTIC (new 42t4, <br /> HEIGHT IN F NEWER <br /> /4/ /D NUMBER OF STORIES: (Not including basement) <br /> !/ 7 Af oodplaiN <br /> orelan (attachment) /A_ <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> ErosionConto!permit <br /> BASEMENT: 1ST 0 ) 3 <br /> 22 TOTAL SQUARE FOOTAGE: (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR �3 filling/access) <br /> Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ '- '- ♦ and available options. <br /> (Please round to nearest dollar) $ 3,1 00.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? :Iles ✓❑IV° ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Ekes ao ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? Ekes Eio <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes D. <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) Dies lalo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓IVo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ <br /> 545-112(4/08) <br />