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ZONING PERMIT CITY OF MIDDLETON 7426 HUBBARD AVE. MIDDLETON, WI 53562 PHONE (608) 821-8370 FAX (608) 827-1080 www.cityofmiddleton.us No structure shall be erected or altered without first obtaining a Zoning Permit pursuant to Section 10.127(1) of the City of Middleton Zoning Ordinance as well as the appropriate Building Permit(s). Zoning Permit Fees (pursuant to City of Middleton Code of Ordinances, Section 10.128(1)(g)): PROJECT CLASS PRINCIPAL STRUCTURE ADDITIONS (e.g. garage, deck) ACCESSORY STRUCTURES (e.g. shed, fence) One Family and Duplex $250 $50 $25 Multifamily $500 $250 $100 Small Commercial / Industrial (up to 20,000 SF) $500 $250 $100 Large Commercial / Industrial (over 20,000 SF) $1,000 $250 $100 NOTE: Only one fee is charged per application. If an application includes more than one structure type on the same lot, only the highest fee applies. SECTION 1 – APPLICATION (TO BE COMPLETED BY APPLICANT) ADDRESS OF PROPERTY WORK CONSISTS OF OWNER PROJECT REPRESENTATIVE (Contractor, Coordinator, Other) NAME CONTACT NAME BUSINESS NAME or CO-OWNER’S NAME (if applicable) BUSINESS NAME (if applicable) MAILING ADDRESS MAILING ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP DAYTIME PHONE # DAYTIME PHONE # EMAIL EMAIL PROJECT CLASS (Check One) SINGLE FAMILY DUPLEX MULTIFAMILY SMALL COMMERCIAL / INDUSTRIAL (up to 20,000 SF) LARGE COMMERCIAL / INDUSTRIAL (over 20,000 SF) PROJECT SCOPE (Check One) NEW STRUCTURE ADDITION ALTERATION STRUCTURE TYPE (Check all that apply) PRINCIPAL STRUCTURE GARAGE DECK SHED FENCE POOL OTHER I, the undersigned, do hereby certify that the above information is correct and agree that in the performance of this work I will be bound by and submit to all statutes of the State of Wisconsin, conform to all applicable codes and ordinances of the City of Middleton, and abide by all other applicable rules and regulations. Furthermore, I understand that the City of Middleton is not responsible for enforcing neighborhood covenants, and any granted zoning variances apply only for the specific structure(s) reviewed by the Zoning Board of Appeals. SIGNATURE OF APPLICANT (must be owner or project representative listed above) DATE SECTION 2 – PERMIT (TO BE COMPLETED BY PLANNING / ZONING OFFICIALS) ZONING DISTRICT PDD NAME (if applicable) 100-YEAR FLOODPLAIN? YES NO LOT AREA (SF) APPROVED USE OF STRUCTURE MAX. LOT COVERAGE MAX. BUILDING HEIGHT (ft) REQUIRED SETBACKS (in feet) = complies) FRONT REAR LEFT RIGHT FEE CATEGORY PRINCIPAL ADDITION ACCESSORY CONDITIONS OF APPROVAL 1. All lot corner monuments must be visible or indicated by stakes. 2. Compliance with conditions of approval stipulated by: Plan Commission minutes of Zoning Board of Appeals minutes of PERMIT Permit Fee: Fee Paid: □ Approved by: Date: / /