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038/0708-081-2056-0 Details Page 3 of 4 <br /> Parcel Maps <br /> L <br /> m j <br /> L <br /> 7: :,-,r <br /> 1C1 <br /> SUPPLEMENT to Web-App# <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> :.E SS(c- MI Le-SKc7 Zoning Status;CUP; A - <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> Deed Restriction; CSM <br /> 7514 6 SUfr►r►tr ,eIdot eo-4-0 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> b0' -0[ - S1/ Jesstch.r1,/e$ko€'rng,l 111 Site Plan drawn toscale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and ' des dimension <br /> AGENT NAME CONTRACTOR NAME <br /> ExrEat 04- 4en04.).-no, S L LG• ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 02q0< P/QUID eD- <br /> (City,State,Zip) (City,� State,Zip) Setbacks 3 0/(0/5-0 Mti,)DL ,w.r- , 53stG2 <br /> PHONE PHONE call JSite Plan approval from r/� <br /> .. OVER -g36-050 (006 alas-1i 1 applicable township. <br /> E-MAI L ADDRESS E-MAIL ADDRESS <br /> c 5a^C)vitt riwz�l i�5 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (httpd/accessdane.co.dane.wi.us/) "" [ Elevation of property <br /> PARENT PARCEL NUMBER: CUR NT ZONING: ACREAGE: <br /> ❑PARCEL o8 a 056-0 t O , frontage drawn to scale. <br /> NUMBER �3��07 U S" � ' ��� / <br /> TOWNSHIP: SECTI N: Al `,l/ r r •Driveway permits <br /> M i O1LE n —�= % �� %1h ,v (state,county,town) <br /> ADDRESS: <br /> 15'16 5t"'Jm'r RIDbe, RO� I�IO/)L.E1MA Iv)z !law,— <br /> C M: LOT SUBDIVISION ..."40 • UbIIC, <br /> �.SS (P <br /> PROPOSED PROJECT INFORMATION STAFF:'REVIEW <br /> PROJECT DESCRIPTION: # <br /> Dec 7 •n oning District :`� <br /> . ❑This project is a new building or structure. Permitted Use <br /> This project is an addition/alteration to an existing building or structure. �f` _ ' ,,k <br /> SANITARY SERVICE: PERMIT NUMBER: AU,Rural L•• S - <br /> EWER , SEPTIC (new !sting <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> / P nd/Floodplain/ / <br /> (attartlimantl �//1— <br />