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App:#:: <br /> ZONING PERMIT APPLICATION www.countyofdane.com "SUP,PLEMENT_#o 1Neb <br /> - 11.1111111111111 <br /> "PROPERTY'OWNER INFORMATION-' _ =sL ,::.'o m STONIER TO PROVIDE <br /> OWNER L <br /> `'ME <br /> � /177/74 a7i5eivc 117 i CL ('1. 6 - <br /> 1741 oningStatus; CUP; <br /> OWNERADDRE S (Number,Street,City,State,Zip) ` ed Restriction;CSM <br /> HOME ggil Cd L---i-4 CELL PHONE 1 5kifith/M _ GC/ ,S�J e/ ariance(# )• <br /> i Plan drawn to scale <br /> .AGENT INFORMATION, CONTRACTOR 1NFORMATION£ .t4W d includes dimensions <br /> 'AGENT NAME CONTRACTOR NAME <br /> 1 3 0/V 1 GI E tic" I ❑ ite Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well/septic <br /> • <br /> (City,Siate,Zip) fN (City,State,Zip) 11 Setbacks <br /> 5 oo ) , . sJ 8 <br /> PHONE / / PHONE ❑ '-ite Plan ap al from <br /> 08—F�3— YJ 3 7 - •plicabl ownship. <br /> E-MMAILADDRESS E-MAIL ADDRESS , <br /> .5eCh em4 /.s' ®S{or7 c,, cc ,com 1111 loor plans to scale <br /> _PROPERTY/LOCATION INFORMATION ,(http llaccessdane co dariewiiusay� N Elevation of property <br /> PARENT PARCEL NUMBER: CU ENT NI G: ACREAGE . P P dy <br /> ❑PARCEL 08 1/,� I �,)N AC'70 E ,� ( Q/9 ec s, frontage drawn t Cale. " <br /> NUMBER I �7"' /(/ <br /> TO SHIP: SECTION' ,�+ �,q , 1 <br /> r I' 'i - I IS y4. NI Q ya,�4. M 1N) ❑Driveway rmits <br /> ADDRESS: 1 J (state ounty,to n) <br /> Lig / CcZ_Lsli " I Sineihie oN 5-35-f7 . ❑Sanitary p its <br /> CSM: LOT (p blic rivate) <br /> PROPOSED PROJECT INFORMATION - YA�'P itEVIEW . <br /> PRO CTDESCRIP ON , \ 1 , „ 1 `®� _.,% ,.-L s y rs< -€ <br /> I • b 1 I 'U\ t ■S O c. cx oning Dls�nct �f x ``�' <br /> . .This project is a new building or structure, 1. �Y r 4 st ``4 e4 ~3' <br /> ❑ P J 9 n Permltfec( Js61,Ul A l <br /> MTfiis project is an addition/alteration to an existing building s cture. :mss c max; _ .x .i _u�; <br /> SANITARY SERVICE PERMIT NUM ER: '.J Rural •. S 7 - <br /> (EWER EPTIC t. (new7e Isting� � '" <br /> HEIGHT IN FEET o NUMBER OF TORIES: (Not including basement) <br />