Laserfiche WebLink
• <br /> DANE COUNTY ZONING DIVISION i D Q <br /> CITY COUNTY BUILDING,RM •3T ? <br /> 116 / <br /> 210 MARTIN LUTHER KING,JR. BLVD. V <br /> l l r <br /> HE <br /> MADISON. WISCONSIN 53703-3342 ‘. <br /> PHONE 266-4266 FAX 267-1540 <br /> www.countvofdane.com/zoninq <br /> ZONING PERMIT CHECKLIST <br /> PLEASE FILL IN AS MUCH INFORMATION AS POSSIBLE. <br /> 1. LANDOWNER: A`Ch-01C\ i $WEh0 AGENT: ) i v1`< '`, b', T CSC( -1,0\,;(.{ <br /> ADDRESS: 4 flC i maw _{•.tai , ADDRESS: J b(j( '`� �. .1 C n o <br /> Wovv,o e W\ 5359"1 Ili a)' �4CCE ,C1*1 <br /> PHONE: 6Ot ?”3' '2 t q 3 PHONE: e y c C i>n=+ <br /> EMAIL: <br /> � 1 1C e ". <br /> 2. TYPE OF PROJECT: eroow. IF.- `� V'oc e\ <br /> ESTIMATED COST OF CONSTRUCTION: $ IC v0,CO (Structure plus mechanicals) <br /> 3. ADDRESS OF PROJECT, IF KNOWN: ,=s00',16 <br /> 4. LOCATION OF PROJECT: 1� tt } <br /> TOWNSHIP,SECTION,1/41/4 IOW h D C e s.\''�0� `1 Ov\ 33 NUJ Qvo rTC'f [ i,'ya r G er <br /> TAX PARCEL NUMBER 0 61.j O CY1 - 332-- V164-9 <br /> SUBDIVISION OR CSM#(Certified Surtsey Mop),IF ANY: 1 ra�nv i�n 50..\0C1 u i s i av1 <br /> LOT NUMBER,If ANY: La* 4 <br /> 6. ZONING DISTRICT: 1`-Z <br /> 7. SITE PLAN: "A site plan must be drawn to scale showing the lot lines and lot dimensions, the location <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 plan. <br /> Example of o Site Plan an 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 Elevatians attached. <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? . t ` `%e'A'c'( ? h <br /> STATE SANITARY PERMIT NEEDED? Y/1.N; IF YES, PERMIT# <br /> APPROVAL FOR ADDING BEDROOM OR > 257E AREA NEEDED? Y/ N IF YES, PROVIDED? Y/ N <br /> 10. DRIVEWAY(or Culvert or Access) PERMIT NEEDED? Y/CN) IF YES, PROVIDED? Y/ N <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 /> 11. SHORELAND? Y/) FLOODPLAIN? Y /(N WETLANDS Y oCI <br /> 12. TOTAL AREA OF LAND DISTURBANCE(Square feet) .7-i;;C) <br />