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■ r 1 <br /> DANE COUNTY ZONING DIVISION ,,..`s��'ri , <br /> CITY COUNTY BUILDING, RAi 116 i 'l <br /> 210 MARTIN LUTHER KING,3R.BLVD, 1 "� Ar ' <br /> V e;•. -40 <br /> MADISON.WISCONSIN 53703.3341 .1 i•, i <br /> PHONE 266-4266 FAX 2674540 �>... <br /> www.countyofdane.comhoning <br /> ZONING PERMIT CHECKLIST, <br /> PLEASE FILL IN AS MUCH INFORMATION AS POSSIBLE. <br /> 1. LANDOWNER; V 0:CX ti ti 1-1.1 l _(_ AGENT; • <br /> ADDRESS: + ' 0 iti s' I. of' /L ADDRESS: <br /> }MCC it rill 1 tLI .S 1( '1 <br /> 8 <br /> r> <br /> PHONE: (I,r� --.)za. (, --- .)/00 PHONE: <br /> EMAIL: EMS: <br /> 2. TYPE OF PROJECT: 5 c V �, �� on. F r '1 <br /> ESTIMATED COST OF CONSTRUCTION: $ �-ii/ 8° Structure plus mechanicals.) <br /> 3. ADDRESS OF PROJECT,IF KNOWN: &Pd4;a-11\ <br /> CL CC <br /> 4. LOCATION OF PROJECT: <br /> TOWNSHIP,SECTION,1/41/4 • ti, i ,_:$TAX PARCEL NUMBER ( J <br /> SURDIVISION OR CSM#(Certified Survey Map),IF ANY' - ""` <br /> LOT NUMBER,IPANY: '1 5 <br /> 1 <br /> 67---ZONENG-DIST — <br /> 7. SITE PLAN: *A site p/an must be.drawn to scale showing the lot lines and lot 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 /> septic system and the location of the well shall be shown on the plan. . <br /> . Example of a Site Pion on reverse. <br /> B FLOOR PLANS AND ELEVATION VIEWS(frost, sides,rear): A copy will be kept In Zoning Division files. <br /> Examples-of Floor Plans and Elevations attached. <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? P L ( <br /> STATE SANITARY PERMIT NEEDED? �/N IF YES, PERMIT# 13 -AO 1`o --6()3.�N <br /> APPROVAL FOR ADDING BEDROOM OR > 25%AREA NEEDED? Y/G IF YES, PROVIDED? Y C <br /> 10. DRIVEWAY(or Culvert or Access)PERMIT NEEDED? Y 104 IF.YES, PROVIDED? Y/ <br /> Many Towns require a Driveway Permit;County Highway bepartment or WOOT permitS may be required for <br /> driveways with access to a County,State or US Highway <br /> N / ,(N J <br /> 13. SHORELAND?. Y Q FLOODPLAIN? Y WETLANbS Y/6) <br /> IZ. TOTAL AREA OF LAND DISTURBANCE(Square feet) <br />