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12:52:50 p.m. 07-30-2009 1/1 <br /> 18474594106 YELLOW TRANSPORTATI <br /> DANE COUNTY <br /> APPLICATION FOR PERMIT TO DEVELOP IN A FLOOD PLAIN ott METWID PERMIT NO. FP -11...Z.-G_ <br /> The undersigned hereby snakes application for a permit to develop in a flood plain. The work <br /> to be performed, including flood protection works, is as described below and in attachments <br /> hereto. The undersigned agrees that all such work shall be done in accordance with the req- <br /> uirements of the Dane County Flood Plain Zoning Ordinance and with all other applicable <br /> County Ordinances and the laws and regulations of the State of Wisconsin. <br /> LOCATION: <br /> t..-04-1<e• 5-L0r Dr■V� 1,b,Gti �s NW 24 SE Ranber <br /> t <br /> , <br /> Lot 'T s .n or . . er"""r' <br /> • <br /> PROPOSED WORK: BUILDING: FLOOD DISTRICT: AREA: <br /> Subdivision New j+-0,- X General FP 95 x 5 -7 <br /> Filling 7l - Addition Regional FF <br /> Grading � Alteration -�— Square feet S��/S <br /> Regional FW RFE 784/..) <br /> Mineral removal Moving Top of fill Iss:3 67114115 <br /> Dredging Z.P.# FIRM ZONE lig Cost 50 <br /> Owner- CONTRAC,'OR/BUILDER <br /> 3D ar <br /> N I c Pi e,rc Rol <br /> „lla -6"� #FiL 64/6 9 ral toti w, -3 -3L <br /> Signed: / , '' � (Owner/Agent) Date 7/ D Oaj <br /> Permit issued c29-14-2509 pey.. desed —_ Ralson <br /> M <br /> Fee $ 17-'5 By: l'e7 Sc c, e_ • Date ay- /9 <br /> Inspection record: <br /> By: Date _ C of C issued AY: <br /> Plans prepared by C.,- ; __ -- .OaFte _ <br /> --- .. .. an, urveyor ngiru�r rc t -/ - <br /> - <br /> Sent to DNR District Main Office _ Ry , • <br /> - - <br /> 195-Z59 <br />