Laserfiche WebLink
ZONING PERMIT APPLICATION - '7"'"----------"'-sup - t — <br /> www.countyofdan�.cam <br /> (1ROPERTYlOWN ORMATIONI� ` ` �` r r �" M1--. <br /> ER-1NF �:F'' �` CUSTOMER TO PROVIDE <br /> - ; .i l�nu�?ni x�c_-_,i" �,�:-st"'']�r��'�` �v�.L.",v�l� <br /> OWNER NAME <br /> JWyafodI.(/JIJI a5y, Wing Status; CUP; <br /> OWNER ADD ESS (Number,Street,City,State:Zip) /' Deed Restriction; CSM <br /> 17PZ- i ■ / . [L1/!. t2 0 Variance(# <br /> HOME PHONE CEL PHONE 2 E-MAIL ADDRESS ( ) <br /> iWit.•�•�1 I , it Of 403- J. ar /f i2, L'• •eke '� - e Plan drawn to scale <br /> Ntliff ORMATIOIII CarniVICTORTINFOR IA N it;; <br /> and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> . <br /> Q 0 n t i i I /I b. I • w AAA e-'tan including location <br /> AGENT ADDRESS CONTRACTOR RESS • of well/Septic <br /> 7762 al Veity 7 l <br /> 770 2 y lei y r ra j i <br /> (City,Staff,Zip) (City,Sta Zi Setbacks <br /> Odd/don w.S35 .2 lY dl on <br /> W S35(2 <br /> PHONE PHONE <br /> Site n proval from <br /> el 220- (0391 (toot) 2 ZO—(039 1 a township. <br /> -MAIL ADDRESS AILADDRESS - <br /> . q5(' ► t A 41l• • / ► 1 , '' 1 •G15J77 ans to scale <br /> PROP RTY/LOCATION_If0:01.0Ap 11011 lli tp.1/ efai aane.co;dan .vutaint.:,�:.,,, 4 evation of property <br /> PARENT PARCEL NUMBER: • CURRENT ZONING: ACREAGE: <br /> El PARCEL � frontage drawn to scale. <br /> TOWNSHIP:ER 0701- 3-23 -0 9_SECTION: Drive m'ts <br /> �., i ,r L r . G I/ 20 '/: hyw 1/4%4. SV/ ❑ Y <br /> ADDRESS: I (state, nty, town) <br /> 3'7 1 ci2„--�' ,v,o, J Pi- vo, l nary permits - <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> go ii, (public, private) <br /> PROPOSED PROJECT INFORMATION 1 ri a <br /> PROJECT DESCRIPTION:T c. ' 1 1 116111e. � � - -t= . <br /> NCO 3i 1r/ • l :r,..;6.141, e 3 ` <br /> • Fhis project is a new building.or structure. a ,° ) dEC7sz ▪4 a his project is an addition/alteration to an existing building or structure. _ -_ s <br /> SANITARY SERVICE PERMIT NUMBER' '` tg °t 9 Q -5 . 3" <br /> II.EWER . `I.EPTIC 13'1014 -60Z58 - 1'' 5 r47 <br /> r EIGHT IN FEET: / NUMBER OF STORIES: (Not including basement) . --c c <br /> - '3 )•o* - PM- e ': 'We'te itl <br /> -r s. <br /> AREA TO NEAREST SQUARE FOOT: — r e�1 ��, <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) - z- - = <br /> BASEMENT: z[�--O'12.4 e.d re eP t <br /> 1ST FLOOR: <br /> 2.1^ . _2.SO -t • ' ♦ TOTAL SQUARE FOOTAGE: 4, Rt-----;-.762,.1 .,-...,-,27-7 <br /> 2ND FLOOR: 3RD FLOOR: -4�- _'s <br /> ESTIMATED CONSTRUCTION COST: ,�j f E C Cw ,mss. <br /> (Please round to nearest dollar) --► :-� -+ "♦ •+ `0. $ / �t 0p©,p0 � � '`� ' <br /> . - <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake'? DYes-' o. DDon't-kri w <br /> 2. Is there a wetland or floodplain on or near the property? Eyes [o . Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? es — _ <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? es : o • - - , <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) - [Yes . tb . DDon't know <br /> 7. Is this to correct a violation? - DYes pee • <br /> • APPLICATION MUST BE SIGNED <br /> • (Continue on Back). —► —► —* ' <br /> 545-112{4ro9) - <br />