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ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWN RNAPA E- <br /> 1-0C.1 <br /> f SHARON HEIN <br /> )JS r t S +1ti C04) Iy� Zoning Status: <br /> OWNtR ADoc_ss Plumber. SIN Civ.�.c:.. Zip; if- f Deed Restriction; f.;Sk'l <br /> ta,. N5' . t I': L'.r1 a� t ,,..., CJ <br /> l� iCs lJ ti <br /> .._ a.. ._5a�1 . .... Va=lance. .. I? } <br /> 4--•-7 tic-- Ss - icy '"`,IA , Coy • ahuuoi - , CU AA, gSite Plan drawn to scale <br /> • • ' and includes dimensions <br /> AGENT `NIE , ! C• •TRAC?OR Nar#E <br /> .a 1V V S.. 4-CC. 1.-e. 1 •‘� iv 54C-CI C- .Site Plan including location <br /> P.5ErdT A]'JRF.SS I CDt.?RACTOR. DDRESS of w•ell;septic <br /> -- ! �`.f?3.-- � -� <br /> � . . fes! <br /> :::• .e.:asie.110 AN:.. S':3:::. IV Setbacks <br /> A 4 @n. _ S S1 j icF� <br /> nun: -'-- --.. .. PHONE "-- --- i.Si(e Plan approval from <br /> (,,0% , `a 7 e-01,3i applicable township. <br /> l -NIA1ADDRESS l ".1ARL."•l7RESS <br /> •IESv1i'�k a+��3?!a[ea�e_Lo.- ie re...v..-L iAd: c'AEFioor plans to scale <br /> PAr:r'JT • •PARCEL NUMBER.: 0001-0 ICLRRENT I(iN:NG: .ANN 1 n•:;I Ig Elevation of property <br /> �PAROE_ ! Gin- 1341 -- _ o- 138.6 frontage drawn to scale. <br /> rat;rdeE,K. . �f30'- . .._. ._r — 35— ��- --� �--- -...- ----'- <br /> TOWNSHIP: ; ,: c:1nv �1 <br /> �o: n Id 1Z_ 1 'A: I v Ca x. 5 >= Q Driveway permits <br /> ADDRESS: 7217 t <br /> sae county, owlt <br /> Y �' IOK e{ k (AT_ ?��}..i. leSanttay permits <br /> CM [L 'sues tiislai. i �L[:(:i:l.[:"" {public. private) 4 BEDROOMS <br /> I 1 <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PR' ECT DESCRIP '.ON <br /> l-ike. • •.MQa L -.-AC1.kA-.. 1.. 3 '•J Zoning District <br /> INCREASE HEI TOf EMS TIN02ND FLOOR, <br /> - 3 [This project is a new building or structure. ADD GARAGEAND PORCH 1ST FLOOR, <br /> r ADD IT FLAOR OVER NEW GARAGE J Permitted Use? YES <br /> I Einis project is an addition/alteration to an existing building or structure. <br /> NIT "' ..t Rural Address <br /> ,AM!TARV SE4�;:CE� ; s:i-I;'l.IT hU?.1±EP.: <br /> 13-2021-00212 EXIST <br /> DELIVER '' rrrc (new/existing) <br /> - < w <br /> S HE!u'HT IN FEET. � � �� �- V�Jait3=R a= SID/NYS.s. ;r.:a i�,.+ nu, !,:�•.r�:::r::n; .. 7 300 S TF E Ah:�1 <br /> i ;30I ] ijir 24 MEAN: '� L.1 Wetland?Floodpiain? <br /> - - - Shoreland (attachment) <br /> AREA NEAREST SOEJARF FOOT <br /> I (Outside dimensions includ•ng unfinished area. attached garages and above grade darks or porcges) ! <br /> .._ : - -- --- ErosiortCortrol permit <br /> Ih:dr ME NT Z 1sT-LOOK: NO <br /> -It'2- 0 ; -t ' 131:51, Tom. SQUARE FOOTAGE: j (slopes; disrurbance, <br /> i:7411,1:1 00R. ' ^rr. F! o :R: I <br /> € t 2168 1 0.0 3483 <br /> ! -� ' ---- I ---1 - �l<' -J Review Location Survey <br /> ESTIMATED CONST RITC I ION COST: QQ- -1 and available options. NO <br /> (Please round t(: nearest dollar) $ S r7 00 a <br /> • <br /> 1 . The property is within 300 foot of a stream or 1000 feet from a pond or lake? fires QNc ['Don't know <br /> 2. Is there a wetland or floodplain on o; near the property? QYeso awl know <br /> 3. Have you talked with the township about your project and are they in agreement? 2mt +lo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Des jgblo <br /> 5. Is this project associated with a rezone?CUP/variance (pelil!on+appeal i? ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) WesHIND QDon't know <br /> 7. Is this to correct a violation? Dies pkto <br /> APPLICATION MUST BE SIGNED <br /> $ 398 .30 (Continue on Back) — —1. <br />