Laserfiche WebLink
09/25/2008 14:02 608-267-1540 DANE CO PLANNING PAGE 07/07 <br /> DANE COUNTY <br /> 1FPLICATION FOR PERMIT TO DEVELOP IN A FLOOD PLAIN OR WETLAND PERMIT NO. FP 577S-C__ <br /> The undersigned hereby makes application for a permit to develop in a flood plain. The work <br /> to be performed, including flood protection works, is as described below and in attachments <br /> hereto. The undersigned agrees that all such work shall be done in accordance with the req- <br /> uirements of the Dane County Flood Plain Zoning Ordinance and with all other applicable <br /> County Ordinances and the laws and regulations of the State of Wisconsin. <br /> LOCATION: <br /> ?7 0 gf_ ;:. NveE 'I gzwi`. IN. VoJ 5 ravel fq <br /> Number, Road Town Sec 1/4 1/4 <br /> Vi_l‘ °'. CI , E'er -co4,- t`'� '1'N1 -7 <br /> Lot Block Subdivision or G.S.M. Number Zone <br /> PROPOSED WORK: BUILDING: FLOOD DISTRICT: AREA: <br /> Subdivision New General FP x <br /> Filling 54 Addition Regional FF X Square feet <br /> Grading Alteration X Regional FW RFE 7$�-i .' - USGS <br /> Mineral removal Moving Top of fill '185.2 USGS <br /> Dredging Z.P.# FIRM ZONE >�G Cost <br /> Owner CONTRACTOR/BUILDER <br /> b-c 1..,Osrii rv�Te-<_- ' � <br /> U t 02 ,a t -e /L (.; o S`I - <br /> f. <br /> Signed: , A / � p-a _--' (Owner/Agent) Date <br /> 9//a37(. .. <br /> Permit issued / ,/OR DB _ Permit denied _ Reason <br /> Fee $ ‘ �5 By: 4/0 LIL�1, �./....._ Date ,,x(11 P1g13 <br /> Inspection record: <br /> By: Date C of C issued By: <br /> Plans prepared by . Date <br /> land Surveyor/Engineer/Architect <br /> Sent to DNR District Main Office By <br /> Other information -- <br />