Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com - <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER AME , ,----!-- <br /> • "Z m-`2_ - J°"...1 t OI� Q h * ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) w <br /> So 3 S Cn- (_ cc 7C Deed Restriction; CSM <br /> / �� w Variance(# ) <br /> HOME PHONE 1 CELL PHONE E-MAIL ADDRESS <br /> &OS--E IA-l2..o m I vim.• OCa•h -aC-Caws ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> GENT NAME C�'-� CONTRACTOR NAME <br /> trs l Ccro,1 l T,_ f- ,J ( i... .k-- ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> (Cit State,Zip) (City,State,Zip) 1=1 Setbacks <br /> rn.,Pci C1 _ n�' C►kG L S3S i <br /> PHONE PHONE ❑Site Plan approval from <br /> 6908-C.44-311 I applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS • <br /> 1'1:eS €- or. • .GGN!'t ❑ 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 /> ElPARCEL A — ` JL C, � frontage drawn to scale. <br /> NUMBER cx-0---of('-ctt90_0 ikk <br /> TOWNSHIP: SECTION: <br /> SQtu'1v4.1)-f t i 1/2: N(_ 1/4%: sci3 ❑Driveway permits <br /> ADDRESS: �v�+�(+ �G�I�N (state, county,town) <br /> csM: S LOT i SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> 12 r-,c h I 7 I (public,private) <br /> CERTIFIED SURVEY MAP <br /> WILLIAMSON SURVEYING AND ASSOCIATES, LLC <br /> '412° NOA T. PRIEVE & CHRIS V. ADAMS., REGISTERED LAND SURVEYORS <br /> 104 A WEST MAIN STREET, WAUNAKEE, WISCONSIN, 53597 PHONE: 608-255-5705 <br /> LOCATED IN PART OF THE NW 3'4 & SW 3'4 OF THE NE 34, SECTION 1, T6N, R7E, TOWN <br /> OF SPRINGDALE, DANE COUNTY, WISCONSIN, INCLUDING ALL OF LOTS 3 AND 4, <br /> CERTIFIED SURVEY MAP 8897. <br /> NORTH 1/4 CORNER TOTAL SECTION LINE N 89'06'48' E 2,661.50' NORTHEAST CORNER zc <br /> SEC. 1-6-7 r �J SEC. 1-6-7 <br /> FD. 3/4' REBAR Q Ay A X .h d d[ A' FD. ALUMINUM MONUMENT -..1-31". <br /> • bi CI CO'- ..*2 . 7' • �': - — •—g— — 2,306.20' .o <br /> L O. I _4 L-!0` ,� PREPARED r1DR F- m <br /> eS' L-g . .I THOMAS JOHNSON NOTlL'E:• u�Z <br /> iit 6 3 7 4 L-11' I 5721 RESTAL ST. THIS APPROVAL IS GIVEN SUBJECT TO wZ <br /> i k ! FITCHBURG, WI 53711 THE PRESENTATION FOR RECORDING OF s=W <br /> ' 0. / V L 0 7' 7 THE CERTIFIED SURVEY MAP WITH AN La'-co <br /> •F." 2 / / OFFICIAL NOTICE DOCUMENT FROM THE l-o <br /> L-6 7, C S' AL 8 8 9 7 TOWN REGARDING FUTURE LAND <br /> Id CI <br /> DIVISIONS IN THE TOWN OF `ww <br /> / , SPRINGDALE. z-I <br /> �l 330 ,�� CL~ <br /> ql / 33.0 <br /> Li <br /> l / f 1.) THIS SURVEY WAS PREPARED WITHOUT BENEFIT OF A <br /> TITLE REPORT FOR THE SUBJECT TRACT OR ADJOINERS <br /> ' l 1 ' 66' WIDE INGRESS/EGRESS AND IS THEREFORE SUBJECT TO ANY EASEMENTS, <br /> VI 'EASEMENT RECORDED IN AGREEMENTS, RESTRICTIONS AND STATEMENT OF FACTS <br /> 1 iu C.S.M. 8897 AND DOC. No. 3533286. REVEALED BY EXAMINATION OF SUCH DOCUMENTS. <br /> v 2.) WETLANDS AND FLOOD PLAIN, IF PRESENT, HAVE NOT <br /> \ \\ L 0 7' 2 BEEN LOCATED OR SHOWN. <br /> • • ■ /' c' Le L7 j' 0 7 v- VC-C- CNCCT a cno ri io i- nun i Mir TAAI CC <br />