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DANE COUNTY ZONING DIVISION .� <br /> CITY COUNTY BUILDING. RM 116 , ; • <br /> 210 MARTIN LUTHER KING.JR.BLVD. <br /> MADISON.WISCONSIN 53703-3342 1 i <br /> PHONE 266-4266 PAX 267-1B40 <br /> www.lxnlnhrofdane.com/zoning <br /> ZONING PERMIT CHECKLIST <br /> .PLEASE FILL IN AS MUCH INFORMATION AS POSSIBLE. <br /> 1. LANDOWNER: Y It i c 1 earl ekAES AGENT: <br /> ADDRESS: Jape 1 %.kna Te Ji tJw, ADDRESS: • <br /> tA44o1se6.1.b KI I Sal I3 <br /> PHONE: (ant . .2.L. 3(be) PHONE: <br /> EMAIL: EMS,: <br /> 2. TYPE OF PROJECT: N F_y.j l .A AIS c.11 e <br /> ESTIMATED COST OF CONSTRUCTION: $ �i�1 11' <br /> Structure plus mechanicals) <br /> r <br /> 3. ADDRESS OF PROJECT,IF KNOWN: 'Jl 2 '4. A/x <br /> 4. LOCATION OF PROJECT: <br /> TOWNSHIP,SECTZOd 1/41/4 .--171L1/4110 OF t-, <br /> nlb a2r <br /> TAX PARCEL NUMBER O 1 7 3 o t a s '3 <br /> (-) <br /> SUBDIVISION O?CS*#(Certified lie Mop),IF ANY. <br /> LOT/WMBER,IF ANY: orAll X.4�L1 r ,�l`J 1 .34EI t <br /> 6. ZONING DISTRICT: W{�jpsn,QJ <br /> 7. SITE PLAN: *A site plan must be drown to scale showing the lot lines and let dimensions, the location, <br /> and size of all existing and proposed buildings or additions and their distances from <br /> lot lines If the lot is not served by public sewer, the location and size of the on-site <br /> st;otic system and the location of the sell shall be shown on the plan. <br /> &a ple of a Site Pair on reverse. <br /> 8 FLOOR PLANS AND ELEVATION VIEWS(front, sides, roar): A copy wii/be kept in Zoning Division files. <br /> Eaonp s of floor Plans end Q'evetatons . <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? <br /> STATE SANITARY PERMIT NEEDED? ,Y, N IF YES, PERMIT# 5 3 L <br /> APPROVAL FOR ADDING BEDROOM OR ' 25%AREA NEED? Y/N IF YES. PROVIDED? Y/N <br /> 10. DRIVEWAY(or Culvert or Access)PERMIT NEEDED? Y N)IF YES, PROVIDED? Y/N <br /> Many Towns require a Driveway Permit;County Nighty", partment or WDOT permits may be required for <br /> ahivennys with access in a County,State or US Highway <br /> • <br /> 11. SHORELAND? Y/NN � FLOODPLAIN? Y• •WETLANDS Y/N? <br /> 12. TOTAL AREA OF L AID DISTURBANCE(Square feet) L i I <br />