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• <br /> DANE COUNTY ZONING DIVISION - t o� <br /> CITY COUNTY BUILDING, RM 116 <br /> 210 MARTIN LUTHER KING, JR. BLVD. 7 , <br /> MADISON, WISCONSIN 53703-3342 ; �N�v; f; <br /> PHONE 266-4266 FAX 267-1540 " SCOT_`TS <br /> www.countyofdane.com/zoning <br /> ZONING PERMIT CHECKLIST <br /> PLEASE FILL IN AS MUCH INFORMATION AS POSSIBLE. <br /> 1. LANDOWNER: a Se ph M; kkC..11 AGENT: <br /> ADDRESS: Q V IZ R I f" Rd ADDRESS: <br /> Sou jL4o ) L,) i s3 589 <br /> PHONE: 40g -817- /397 p PHONE: <br /> EMAIL: SQ1e e Packr.f Lafld pc.CO#'i EMAIL: <br /> • <br /> 2. TYPE OF PROJECT: b eCk AC TUrb <br /> ESTIMATED COST OF CONSTRUCTION: $ Jr/000 (Structure p/us mechanicals) <br /> 3. ADDRESS OF PROJECT, IF KNOWN: a-7,11 V J RIk it( R4 <br /> 4. LOCATION OF PROJECT: o `� <br /> TOWNSHIP, SECTION, 1/41/4 law 0� P I Ca s A r V p f(N,S Sec 33. T b nl R. ,YE <br /> TAX PARCEL NUMBER o 6 1 13 a l Lisa 7 3 <br /> SUBDIVISION OR CSM#(Certified Survey Map),IF ANY: <br /> LOT NUMBER,IF ANY: <br /> 6. ZONING DISTRICT: <br /> Y <br /> 7. SITE PLAN: *A site p/an 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 p/an. <br /> Example of a Site Plan 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? ! V0//L <br /> STATE SANITARY PERMIT NEEDED? Y IF YES, 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 )N IF YES, PROVIDED? Y / N <br /> Many Towns require a Driveway Permit,.County Highway Department or WDOTpermits may be required for <br /> driveways with access to a County, State or US Highway <br /> 11. SHORELAND? Y N FLOODPLAIN? Y WETLANDS Y N? <br /> 12. TOTAL AREA OF LAND DISTURBANCE (Square feet) <br />