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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web•App# <br /> PROPERTY OWNER INFORMATION CU-:TOMER TO PROVIDE <br /> OWNER NAME 2i A/i Milan Weber <br /> //{// � * 2463 Charmany Way * ri Zoning Status;CUP; <br /> OWNER ADDR S (Nu fiber, ree,City,State,: Mc Farland,WI 53558 reed Restriction; CSM <br /> L{r/ AN' ariance(# ) <br /> HOME PHONE CELL PH NE E-MAIL AUUKtbb <br /> 67©2"6 —,‘t21, 3$" - ii 2-. a Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION nd i des dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Sit Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS Of ell/septic <br /> (City,State,Zip) (City,State,Zip) etbacks <br /> PHONE PHONE ❑ it- Plan a royal from <br /> ••lica township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> oor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usn <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: , levation of property <br /> ❑PARCEL G' / - frontage draw scale. <br /> NUMBER `=—L�r L -/ <br /> TOWNSHIP: ,/ (J ', V ^ ( k ^ SECTION. y (�- <br /> "/�// t o)Y ,� I '/a: '/4'/4: /v E- ❑Drivew permits <br /> A D//SS: M e. fel �..li�� (st county n) <br /> �/_ ,, 6,-/�rA iv �� ❑Sanita permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> (pu c,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DES IPTION: <br /> 00 /30 e 4 C 0\f C , (\ I 'oning District <br /> . EIThis project is a new building or structure. ill <br /> .t <br /> Permitted e. <br /> ['This project is an addit'• -Iteration to a existing building or structure. <br /> SANITARY SERVICE: LA/coi// "ERMIT ■NUMBER: , ❑ Rural r s <br /> EWER PEPTIC <br /> J . (new/ xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not eluding basement) <br /> 0 fil"e> LI Wetland/FI dplain/ <br /> AREA TO NEAREST SQUARE FOOT Shore (attach ent) <br /> T: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ EroSIOnCO of permit <br /> 4, TOTAL SQUARE FOOTAGE: 4, (slope's .isturbance, <br /> fillip access) <br /> 2ND FLOOR: 3RD FLOOR: 6 O 0 <br /> ❑ Review Location Sury <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ -► ) and available options. <br /> (Please round to nearest dollar) $ 6 ( 00 tt <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes [NNo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? EYes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ['Yes �l <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank' none) <br /> 6. Is a location survey required? (see reverse) [Yes o Efpon't know <br /> 7. Is this to correct a violation? ❑Yes \No <br /> APPLICATION MUST BE SIGNED <br /> r_---- (Continue on Back) ♦ ♦ —► <br /> 545-112(4/08) ....f, ? 1 <br />