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TOWN OF ROXBURY DRIVE PERMIT APPLICATION <br /> SEE DRIVEWAY ORDINANCE 2001-A <br /> APPLICANT <br /> Name 6-6-16 (341-", ..-7*'y /'✓e. �✓C. <br /> /J S �' Sy(' ,e6 s, <br /> Address 7 N 33s> 3 <br /> Ct79 <br /> Telephone Day Jg /3- Business 370- 2 3 18 Evening <br /> GG�t <br /> LOCATION <br /> 7419' 'iSh' /4l'E Z./-D Street, Road, Highway etc.(NSEW) of Road located <br /> (NSEW) from Road in the quarter of the S LI quarter in Section /0 In the Town of <br /> Application Number:APP-22505 <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. <br /> ZP20080415 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> THOMAS TIERNEY (608)256-8260 EAGLE CARPENTRY INC. (608)643-4079 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1010 HARRISON ST 548 SYCAMORE ST., <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53711 SAUK CITY, WI 53583 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> TTIERNEY @BUS.WISC.EDU BTLAUTENBACH @YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0907-103-9000-6 ROXBURY 10 SW SW <br /> III 1:461,I:11"/_1 rl NI:4 4:1111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 7448 FISH LAKE RD <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.Q PLAT NAME <br /> METES AND BOUNDS: METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New ❑Addition/Alteration CENSUS CODE <br /> A-1 EX 20 <br /> Description:30 X 50 SHED 328 OTHER NON-RES <br /> CATEGORY ❑Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑other:30 X 50 SHED ❑Public 1�, <br /> �[J Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 9885 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 16 1500 1500 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 52,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 163.00 <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and certify to the accuracy of that <br /> information. I further certify I am the owner of the property,or a duly authorized representative, and may sign this permit application on behalf of the <br /> owner(s) of said oronertv_ and I have read and understand all of the conditions of this permit and will construct the oroiect in comoliance with <br />