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-DANE COUNTY ZONING DIVISION ( / <br /> CITY COUNTY BUILDING, RM 116 � )? <br /> 210 MARTIN LUTHER KING, JR. BLVD. <br /> MADISON, WISCONSIN 53703-3342 • <br /> • <br /> PHONE 266-4266 FAX 267-1540 <br /> www.countyofdane.com/zoning <br /> ZONING PERMIT CHECKLIST <br /> PLEASE FILL IN AS MUCH INFORMATION AS POSSIBLE. <br /> 1. LANDOWNER: v ULi I//)i (WO AGENT: <br /> ADDRESS: o1 `� A 1-� 1 P ( ADDRESS: <br /> �fi\ ccA n�> Li) <br /> PHONE: - , � — PHONE: <br /> EMAIL: EMAIL: <br /> 2. TYPE OF PROJECT: itAA) Ctu <br /> fi,- (m <br /> ESTIMATED COST OF CONSTRUCTION: .$' / �O ()C y) f'�--) (Structure plus mechanica/s) <br /> 3. ADDRESS OF PROJECT, IF KNOWN:C Q o 6 rJ/��( d <br /> 4. LOCATION OF PROJECT: <br /> TOWNSHIP,SECTION,1/41/4 <br /> TAX PARCEL NUMBER 0 7 in 2_03 08 `- <br /> SUBDIVISION OR CSM#(Certified Survey Map),IFANY: o (f g/1,d Fi <br /> LOT NUMBER,IF ANY: f <br /> 6. ZONING DISTRICT: _ <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 a//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. <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? <br /> STATE SANITARY PERMIT NEEDED? 0 IF YES, PERMIT# <br /> APPROVAL FOR ADDING BEDROOM OR > 25%AREA NEEDED? Y�� IF YES, PROVIDED? Y/N <br /> 10. DRIVEWAY(or Culvert or Access)PERMIT NEEDED? Y/ )IF YES, PROVIDED? Y,/ <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 /> • <br /> 11. SHORELAND? Y/'�N FLOODPLAIN? Y N <br /> `�,: W/ WETLANDS Y/ <br /> 12. TOTAL AREA OF LAND DISTURBANCE (Square feet) <br />