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SUPPLEMENT to Web-App# <br /> ZONING PERMIT APPLICATION FOR A SIGN www.countyofdanegcom <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Scvs.14z Zoning status; CUP; Deed <br /> OWNER ADDRESS (NumbY,Street,City,State Zip) Restriction;Variance <br /> 6S10 .415' RoA41 410-4 iVYI& a) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> ysk,kkAAts c kDrusrsitc_4- 5]Site plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION including dimensions <br /> AacNTNAME CONTRACTOR NAME <br /> I4104&Ai j Li,c. TIM B IERSDORF E]Setbacks <br /> AGENT ADDRESS CONTRACTOR ADDRESS <br /> GiDY \Nmitc E Detailed drawings to scale <br /> (City,State,Zip) (City,State,Zip) <br /> /44AI-sop 1*-11,1 El Elevation plan drawn to <br /> PHONE PHONE scale <br /> 60.8 <br /> E-MAILADDRESS E-MAILADDRESS III Illumination plans(if <br /> TIM@ARTISANDECKANDDESI N.COM applicable) <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wlusi) <br /> PARCEL NUMBER CURRENT ZONING: ACREAGE: j Wisconsin DOT approval <br /> HC j (if applicable) <br /> TOWNSHIP. <br /> "lite k-60 SECTION: <br /> 01/4: <br /> ADDRESS: <br /> 67C)re L.khk Athym. tAdr <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> ' • • • • k • • STAFF REVIEW <br /> PROJECT DESCRIPTION: grecital <br /> HEARTLAN 111 Zoning district <br /> EIThis project is a new sign. BUILDING <br /> 11 Permitted use <br /> rlir his project is an addition/alteration to an existing sign. AND DESIG <br /> Square footage <br /> DISTANCE TO LOT LINE(FEET)7a <br /> requirements <br /> SIGN HEIGHT(FEET): 0 Height requirements <br /> SIGN COPY AREA(SQUARE FEET): / Locational requirements <br /> SPEED LIMIT(MPH): - LI Review location survey <br /> and available options <br /> TYPE OF SIGN:(WALL/GROUND/PYLON): Li.„11 <br /> ESTIMATED CONSTRUCTION COST: <br /> ott) <br /> (Please round to nearest dollar) <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? EYes No ODon't know <br /> 2. Is there a wetland or floodplain on or near the property? nYes NoEiDont know <br /> 3. Have you talked with the township about your project and are they in agreement'? ,Kfres No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dyes No <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) EYes No ElDon't know <br /> 7. Is this to correct a violation? /1 :1\e'es ILINo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ <br /> 545-112(4/08) <br /> • <br />