HomeMy WebLinkAbout2008-3001Grant County Zoning
Terry Loeffelholz
111 S Jefferson St. Lancaster, W/ 53813
(608) 723-2848
2007 APPLICATION FOR ZONING PERMIT #
THIS PERMIT IS GO FOR 1 YEAR 3001
DATE ISSUED: S`�0 `�� DATE EXPIRES: S i���
TO THE 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.
Owner: �jriti %y t e feir'17 I 0-j Phone #: r� O �� C/-3 % O
Mailing Address: �5S� .[ rt r►+7'r, �ci W Q 1.]
WORK TO BE DONE: describe dimension of structure or work to be done (Provide sketch on back of this form).
NUMBER OF BEDROOMS: -f-r NUMBER OF STORIES: SQUARE FT f
NAME OF BUILDER:
FEE SCHEDULE is based upon the value of the 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 $80.00.)
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VALUE OF WORK/IMPROVEMENT: f/ 060--d6 FEE ENCLOSED:$ lld• Jq
Owner Signature: IDate: /D - 2a -4 7
III OFFICE USE ONLY III
Township:_ A4t� Zoning District:
Legal Desc: SEC. ja Ts% N 1�- W Tax parcel
Sub Division:
o7o-a7si
Road: O?�5-SS Gam, 6
Minimum Setback Requirements: Side Yard � O Ft.
Front Yard --�7-/ Ft.
Date paid: r,� - 33%9 Terry Loeffelholz:
Rear Yard ' cl) Ft.
Center of Street/Road Ft.
PARCELSKETCH
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.
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Sr�yt�
Rear Lot Line
NORTH
5
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X� S?,7,
yC%4 I
SOUTH
Front Lot Line
/ o 7—
Fire#/Address of Properl:) 'C .Z. � . _ . _ . �Cf LIP- -_ _ . - "�JA
Township & location of work being done:
Tax Parcel number (if known): " ob'j %X - Q 0 o '
Do you currently own this property? es ❑No
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