Laserfiche WebLink
DANE COUNTY ZONING DIVISION <br /> s 'e`t1', <br /> CITY COUNTY BUILDING, RM 116 ;0,; • , `y <br /> 210 MARTIN LUTHER KING, JR. BLVD. ■ / ■ <br /> MADISON. WISCONSIN 53703-3342 <br /> PHONE 266-4266 FAX 267-1540 '74C01.1- <br /> WWW.countvofdane.com/zoninq <br /> ZONING PERMIT CHECKLIST <br /> PLEASE FILL IN AS MUCH INFORMATION AS POSSIBLE. <br /> 1. LANDOWNER: J C.)k Uhf) �/lp-7 e/1 AGENT: <br /> ADDRESS: Fog i3 E 2k f3(1( 5T. ADDRESS: <br /> PHONE: ( /)S') , l —FFS 6 PHONE: <br /> EMAIL: EMAIL: <br /> 2. TYPE OF PROJECT: GCtrci GL P <br /> ESTIMATED COST OF CONSTRUCTION: $ 9,0 0 0. OD (Structure plus mechanicals.) <br /> 3. ADDRESS OF PROJECT, IF KNOWN: S90? R 2 r ka/1 S4. <br /> 4. LOCATION OF PROJECT: <br /> TOWNSHIP,SECTION,1/41/4 <br /> TAX PARCEL NUMBER <br /> SUBDIVISION OR CSM#(Certified Survey Map),IF ANY: <br /> LOT NUMBER,IF ANY: <br /> 6. ZONING DISTRICT: <br /> 7. SITE PLAN: *A site plan must be drawn to scale showing the lot lines and lot dimensions, the locatior, <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 P/an on reverse. <br /> 8 FLOOR PLANS AND ELEVATION VIEWS(front, sides, rear): A copy will be kept in Zoning Division files. <br /> Examples of Floor Plans and Elevations attached.tache <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? FR):, l` ► C STATE SANITARY PERMIT NEEDED? Y/ IF S, PERMIT# <br /> APPROVAL FOR ADDING BEDROOM OR > 25%AREA NEEDED? Y / N IF YES, PROVIDED? Y/ N <br /> 10. DRIVEWAY (or Culvert or Access) PERMIT NEEDED? Y 0•1 IF YES, PROVIDED? Y/ N <br /> Many Towns require a Driveway Permit;County Highway Department or WDOT permits may be required for <br /> driveways with access to a County,State or US Highway <br /> 11. SHORELAND? Y(7 FLOODPLAIN? Y WETLANDS Y <br /> / /N? <br /> 12. TOTAL AREA OF LAND DISTURBANCE (Square feet) / 7 3 / <br />