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%A;ir_;' DANE COUNTY <br /> f,q,''• ?} ZONING PERMIT APPLICATION WWW.DANE000NTYPLANNING.COM <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> O ' C`y e...1— ❑Zoning Status;CUP; <br /> OWNFRADDRESS (Number,Street,City,Stele,Zip) R� ^ Deed Restriction;CSM <br /> 6 R S- \ ', Lois t'a5e, Grote, L t Varian WAD RESTRTOTION <br /> HOME PI IONE CELL PHONE EMAIL ADDRESS <br /> (10 - LILTS--Sago0 (,O -(44C S(O(,U MAC\ .1rbv'(0a @"'`"^I1'c ❑SitePPa �dra67'2 cale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> LI A Utnt-,vtcr,thh w I- -I1niS +►tee []Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> (City,state,Zip) (City,Stem,Zip) ❑Setbacks <br /> PHONE PHONE ❑Site Plan approval from <br /> applicable township. <br /> E•MAILADDRESS E•MAILADORESS <br /> n Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http:/laccessdane.co.dane,wLus!) 11 Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL CTIIlcin&c oo P-3 c 3 S,101 frontage drawn to scale. <br /> NUMDE <br /> TOWNSHIP: SECTION: <br /> Co+ c4.y. &fo& 1/4: '/: 1.7 Driveway permits <br /> ADDRESS: (1 r n (slate,county,town) <br /> 3gi1 0 t\AS t-o Q Kca C' -{' 3e G-loo-e_ t,'► <br /> CSM: LOT SUBDIVISION r BLOCK/LOT <br /> ❑Sanitary permits <br /> +-t 'O 1 13067 �, (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: AGRICULTURAL ACCESSOR r( 1Drct y. bt,ttld►�5 BUILDING USED IN TI IE 0 Zoning District ROGER LANE <br /> . jThls project Is a new building or structure. OPERATION OF A FARM Q Permitted Use? APPRO VED <br /> ❑This project Is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: U Rural Address <br /> EX <br /> EWER l'EPTIC N/4 (new/existing) <br /> HEi9HTJN FEET i 16.5 AN r NUMBER OF STORIES: (Not Including basement) <br /> c,1 \y IL � �� ® Wetland/Flood / D� <br /> WARS IZ PrT�r►RF �- Shorelnnd (�Qtl1 <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions Including unfinished area,attached garages and abovo grade decks or porches) ❑ NORTHER T, > 75` <br /> EroslonControl permit <br /> BASEMENT I 1ST FLOOR: <br /> NI 04-1 a I Go 4, TOTAL SQUARE FOOTAGE; 1 (slopes,disturbance, <br /> filling/access) NO <br /> 2ND FLOOR: 3RD FLOOR: 0 <br /> ESTIMATED CONSTRUCTION COST: ❑ Review Location Survey <br /> (, ) t ♦ -+ .4. .4. .4. $ 5 5/ and available options. N� <br /> (Please round to nearest dollar <br /> WETLANDS NORTHEAST, . 75' <br /> 1, The property Is within 300 feet of a stream or 1000 feet from a pond or lake? Ekes ENo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? nYes ,No ❑Don't know <br /> 3. Have you talked with the township about your project and are they In agreement? ,., Des No NOT `J T <br /> 4. Has there been a zoning permit Issued for this property in the past 5 years? ❑Yes ,®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) llYes to ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes TEN <br /> DOCUMENT#4750673 DECLARATION OF RESTRICTIVE COVENANT <br /> .Arf'LICATION MUST BE SIGNED <br /> R 92FR LANE HAS STATED TO ME THAT THE CITY HAS APPROVED (continue on Back) •-• —+ —s <br /> THIS BUILDING. <br />