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HomeMy WebLinkAbout2007-2907Grant County Zoning Terry Loeffelholz 111 S Jefferson St. Lancaster, Wl 53813 (608) 723-2848 2007 APPLICATION FOR ZONING PERMIT # 290t7 THIS PERMIT IS GO FOR 'I YEAR DATE ISSUED: i� -o77DATE EXPIRES: & _a6 6 T46 TIIE GRANT COUNTY ZONING ADMINISTRATOR: The undersigned hereby makes application for a Grant County Zoning Permit for Work described and located herein. The undersigned is responsible for all work/improvements (described in this application) to be done in accordance with the requirements of the Grant County Zoning Ordinance and all other applicable township and county ordinances and the laws of the State of Wisconsin, Failure to comply with these requirements is a violation of the Grant County Zoning Ordinance. NEW HOMES: Before the Zoning Permit can be issued a Sanitation permit also needs to be issued from the Grant County Sanitation office. wnei : V b a � a r Phone #: og � r Mailing Address: ?S�5 77 ZZ7v Oe%/% WORK TO BE DONE: describe dimensi❑ f structul or work o be done (Provide sketch on back of this form). NUMBER OF BEDROOMS: NUMBER OF STORIES: SQUARE FT: 2 �� rE OF BUILDER: SCHEDULE is based upon the value of tk proposed construction/improvement to the property with a cost of $1.00 per $1,000.00 of value, with a minimum of $25.00. (Example if the construction cost $80,000, it will cost ,you $80.00.) VALUE OF WORKIIMPI 10 E T. $ ❑ ©�� FEE ENCLOSED:$ 300 �o Y Owner Si>snaturt.. nn ,, Date: OFFICE USE ONLY Township:_ Zoning District; �0 __. Legal Desc: SEC �G T N R W Tax parcel: # v0 49 / Sub Division: Road: S;4 Y Minimum Setback Requirements: Side Yard Ft. Rear Yard +:;? Ft. �� Front Yard Ft. Center of Street/Road ht. D(I �jjC��� te paid: tjb d'"7 '07 Terry Loeffelholz: ��� PARCEL SKETCH Please provide location of work being done, location and distances from septic tank, drain field, well, property line and roads for the following improvements: • Structure/improvement being applied for in this application • Existing structures (label) on your property • Other structures (label) within 1000 feet of your property. • Name of road coming off of for new structures. Vdi Rear Lot Line NORTI-I F� SOUTH Front Lot Line FGk- Y-"- - Fire#/Address of Property: _ .�l't h. _ - _ - - _ - _ - - - ...... Township & location of work being done: Tax Parcel number (if known): ��. '30 Do you currently own this property? (Yeas ❑No wd/zp appl 0 Cf) -, m CD �. N O w CD CCD O m D) Q 0 CD NOW CCD A� Q 0 O CD C. CD cn 0 CD 0 0 0 CD n CD �Z