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s.—M rea Weti P ZONING PERMIT APPLICATION www.countyofdanc.coln - - A <br /> CfROPER:**WNE00D � _..._r��� �:s �;4�.�_ �-•���_��Y�. ��� <br /> 1tMATIO_,�:_' `'_-; -wr_ . --= _ •_?"' s : '�a CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> c,C Rc 6;es C_ Z Ing Status; CUP; <br /> OWNER A DRESS (Number,Street, ity,State,Zip),_r- eed Restriction; CSM <br /> 'Q.O• iD( 141A . . mCa laid JJ upi 5,3 ? Variance(# _ ) <br /> HOME PHONE CELL PHONE E-MAILADDRESS <br /> lib a 06 0 V 'a ► ^- •% • `, 4 VI • IN Si - -Ian drawn to scale <br /> tGENTcINFORMATIOiria—W-y ;�3 ;N;C'ONT ACTOTRIINiFORMI� W a and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> 1 ec 3.-# 40 SNiuC ;0 t1 mil. inC. /, r /, ' a I I Site Including location <br /> AGENTADDRESS CONTRACTOR ADDRESS o Well/S tic <br /> i .4 i Ii . .0 R 94 tot ■ '• I _.- '/ 1b <br /> (City,Slate,Zip) (City,State,Zip) S acks <br /> A,?6 Vlrnt ) 03- 6356 me farlam, W3 33csra <br /> PHONE \ PHONE Site PI proval from <br /> *li ♦ 00 1 \ I ea - 4ig-l9O1 t- ap . able township. <br /> E-MAILADDRESS E-MAILADDRESS - • <br /> 1 lit ►� • ` c (J�CfiO ,e LL :/�l o // Merl f . fon oor plans to scale <br /> PROP lttAi0C'ATIQN ittki*At,t* x>(httpJ/ecess alne.co1dalne w usi r w t 140 -Pn J <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE:, Elevat n property Z c� <br /> Ill <br /> PARCEL <br /> NUMBER Oil jc io Ja�Jd' -i R-.- - •�'1 fronta rawn to scale. .\ <br /> TOWNSHIP: - SECTION: <br /> Du. n 9,e 1/4: u 1/4'/: 1 Di rive •- mits <br /> r <br /> ADDRESS: T (St- - viii. own) <br /> csM 3 ftxtc L R'(,�} 1 - wv V- rA its 55 3 - �-.s .-rmits ()'& <br /> SUBDIVISION BLOCK/LOT (pU .rivate) <br /> Collar, Art( <br /> PROPOSEW PROJECt INFORMATION Y. - :,,;;:, ,. ,_,? ,a_,_r_.: _ " = Elf _ <br /> T 1~ Rfa <br /> PROJECT DESCRIPTION: -� J - _ - ms`s-�'-�s' ��� '�� <br /> 1 c c-Q. T c✓c (-) C_k �' c .l c' --bo e dS fl __ <br /> - •...-: <br /> . OThis project is a ne building.or structure.) • - ,Tid e� A <br /> This project is an addition/alteration to an existing budding or structure. k '- <br /> ` <br /> SANITARY SERVICE: PERMIT NUMBER:' r.r. I '` -:� 9 e5 _ <br /> a tk <br /> EWER EPTIC "� 5_-414116 `'s �( <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) ` .. <br /> h . p e <br /> AREA TO NEAREST SQUARE FOOT: . .z• - 'z...-2 --...- <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) r '° 4 <br /> BASEMENT: : 1ST LOOK: �— ��• : _ <br /> • j, TOTAL SQUARE FOOTAGE: 1 :1-'p e u u d am: / <br /> 2ND FLOOR: 3RD FLOOR <br /> ,- <br /> 03h,73-. <br /> ESTIMATED CONSTRUCTION COST: ' -- J f� o ff' R e e e--n e <br /> (Please round to nearest dollar) -► ► -i -► 4. $ _ ---, -(>(-Y <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Ryes-' ONo.• f]Don't•know <br /> 2. Is there a wetland or floodplain on or near the property? fS'es ONo .ODon't know . <br /> 3. Have you talked with the township about your project and are they in agreement'? J2Yes ONo, - . . _ •. <br /> 4. Has.there been a zoning permit issued for this property in the past 5 years'? Oyes , NO . <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) - E1'es ONo ❑Don't know <br /> 7. Is this to correct"a violation? <br /> r---k, KNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► -4 --)b- <br /> S45-112-(4/08) - <br />