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0 Cliff&Janice Lawton t
<br /> 7347 Cty,WI 35 1tAc
<br /> Sauk City,WI 53583 _.
<br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App#
<br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE
<br /> OWNER NAME �-- /
<br /> c1 crrI. V-a1A.IcIe. L a l.J ton
<br /> ing Status;CUP;
<br /> OWNER ADDRESS (Number,Street City,State,�9p) Deed Restriction;CSM
<br /> 314 7 7 ✓a iu_ Variance(# )
<br /> HDME PHONE CELL PHONE E-MAIL ADDRESS
<br /> l"8-6 -,2-S2 ,7.1 --S 7gs • 1 Plan drawn to scale
<br /> AGENT INFORMATION CONTRACTOR INFORMATION and inc`l^q imensions
<br /> AGENT NAME CONTRACTOR NAME (� V itr`�w
<br /> li(/a_i IL,— T cd �>}� p(�d ite Plan including location
<br /> AGENT ADDRESS , CONTRACTOR ADDRE DO C°11" of well/septic
<br /> (city,State,Zip) (City,State,Zip) ❑ Setbacks
<br /> /7'1 4.,z.a P144,Ne..t 1-th•33SS3
<br /> PHONE PHONE ❑ Site Plan approval from
<br /> 5 -- )-( -24 applicable township. , -`1`f
<br /> E-MAIL ADDRESS E-MAIL ADDRESS �,/� ( ,
<br /> LM Floor plans tols scale
<br /> ,
<br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) (�Cv•`
<br /> PARENT (1 PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑ Elevation Of property �� N
<br /> NUMBER J�`,81'/ rot DTI?iwy/��O}-7# , ' i /i r/ fronta drawn to scale.(�
<br /> TOWNSHIP: ! SECTIO :
<br /> O A v 1- '/,:
<br /> 1/41/4: ❑ Driveway permits /
<br /> ADDRESS: (state,county,town) Iv tt-
<br /> 23 if 7 `7;- va_, , L. o ise / Z o•
<br /> C LOT SUBDIVISIOr� / BLOCK/LOT ❑ Sanitary permits
<br /> u. ? i nick., (public,private)�/f
<br /> PROPOSED PROJECT INFORMATION IT'4 ii
<br /> PROJECT DESCRIPTION: ■ ��
<br /> ❑T is project is a new building or structure.
<br /> 4 ii.,=k '
<br /> Sri
<br /> This project is an addition/alteration to an existing building or structure. ,,,.,..4-c-4 ,, , %�
<br /> SANITARY SERVICE: P PERMIT NUMBER:
<br /> e a ,fix g �:
<br /> ❑SEWER �Li SEPTIC 4
<br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement)
<br /> 1 ' I 1 / tt zy ri 89. e..d1 .-.° � s3
<br /> EA TO NEAREST SQUARE FOOT: ' -
<br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) °
<br /> BASEMENT: ° .
<br /> TOTAL SQUARE FOOTAGE: ,, cr ;A: i � i,
<br /> 2ND FLOOR: 3RD FLOOR: / 7,2 * A,1', :
<br /> a g�,^" Yk- `�' i
<br /> ESTIMATED CONSTRUCTION COST: », � � ° _.. „�
<br /> -� -. -► -► -► -► .,4,,,,,..,-,-„,...51.,:c.:„.-y,,.. - .
<br /> (Please round to nearest dollar) z 1�
<br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes E No ❑Don't know
<br /> 2. Is there a wetland or floodplain on or near the property? �❑YYees L to ❑Don't know
<br /> 3. Have you talked with the township about your project and are they in agreement? t_7 Yes ❑No
<br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes BZ
<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 ❑No ❑Don't know
<br /> 7. Is this to correct a violation? ❑Yes L loo
<br /> APPLICATION MUST BE SIGNED
<br /> (Continue on Back) ■ -►
<br /> 545-112(4/08)
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