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TO.001: WetiAPPi ZONING PERMIT APPLICATION www.countyofdanc.com - . <br /> :PROPERMIlifi ER INFO0MATIO rW O �=~ -== rl= tit-- `y:= '' u <br /> :� _,� _r a " _• sue,. t = '�. CUSTOMER TO PROVWE <br /> OWNER NA1M�] _ /'' <br /> `v O,jti1 4-� e� Zoning Status; CUP; ` — Z <br /> OWNER ADDRESS (Number,Street Ci ,State,Zi \,-)/ J '-) Deed Restriction; CSM 10 7^6/-9. 3/ ' ct /9-4-c" e'c F, 0 <br /> Variance(# -- ) <br /> HOME PHONE CELL PHONE. E-MAILADDRESS / <br /> le O X37 9S SS (e0� $ �y5-5�' • !M e(k-6 a l efts • c-c)"" % Site Plan drawn to scale /J� <br /> .AG NT�INFORMAT101a-VA- . M, 5, ,C NT /1CT0 lift OR IgT1.ON 7: 1, and includes dimensions f./-(, <br /> AGENT NAME CONTRACTOR NAME 41/-Site ' --_•.:._luding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of -II/septi.' <br /> (City,State,Zip) (City,State,Zip) Setbacks 6 3/Ya 4910 <br /> PHONE PHONE Site Plan approval from I // <br /> - applicable township. w` <br /> E-MAIL ADDRESS E-MAILADDRESS - - <br /> Floor plans to scale <br /> PROPgRTYILOOTION_IMFOkitel (011 41hftpa/aee�es_5dane.c 41134.v.MI a . "\ `� <br /> "-`� -- Elevation of property <br /> nY PARENT / �L/NUMO 9 22a CURENT ING: ACREAGE/ <br /> UMER rontage drawn to sca le. <br /> TOWNSH SECTI NIA rj <br /> �t of J4,t f /�Q c rCt / '/a: $6% %../a:_ ' E ANDriveway permits <br /> ADDRESS: (state, county <br /> CSM: LOT SUBDIVISION BLOCK/LOTSaNtary <br /> public rival <br /> PROPOSED=PROJECT INFORMATION ,;;.rte , =*� StrP' ROIE'� `t <br /> PR /C��SCRIP (Y J .-. .� . .c / __.� .a _.- - - _ � ,-`E -� �_ . <br /> 4- � — <br /> This project is a # ding or structure. _ �o , i.ed �_ <br /> riThis project is an addition/alteration to an existing building or structure. _ `; I <br /> SANITARY SERVICE: PERMIT NUMBER:" �� '°' _ '4'-- <br /> [)EWER EPTnC - :'—_-Z,69 / e °� -#b 4 <br /> HEIGHT IN FEET: /� NUMBER OF STORIES; (Not including basement) g— F <br /> J r V��1a °le ' Oeoo l f.30/ ys,, Oil;Me: W 7 r.. Ie c i <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) 4 -. <br /> o psi r� - t <br /> BASEMENT: - 1STFL0OIB, �� o o- zo 6 � <br /> C .2 0 D •• 4, TOTAL SQUARE FOOTAGE: 4, �_ -' �-.� <br /> /, <br /> 2ND FLOOR: 3RD FLOOR: • -3 2 .60 s F � / <br /> j.� A �--_ ,7.-41--,,,,-, <br /> k7`a'-41-1''e=e: .er--,; !- �_. <br /> ESTIMATED CONSTRUCTION COST: - c_ -' i E - -p ii, '_/ <br /> (Please round to nearest dollar) '♦ 4 -+ -* -^ '� $ " 0 6,0x) 00 =s" <br /> , • <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes'' ENo-- riDon't-know <br /> 2. Is there a wetland or floodplain on or near the property? Efres ENO .ODon'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'? EYes • QNo - • <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) QYes END • QDon't know <br /> 7. Is this to correct a violation? [Yes QNo _ <br /> • <br /> • <br /> - APPLICATION MUST BE SIGNED <br /> • (Continue on Back) . —► —► -> <br /> 545-112(4/0B) • - <br />