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NO 1--e?0, ( ha kl(-Dec-, / a <br /> l <br /> to n ey-C r Op , L t n e s <br /> ,b ONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION SUPPLEMENT to Web-App # <br /> CUSTOMER TO PROVIDE <br /> OWNER NAME DANIEL and NICOLE BOEHNEN <br /> 0 Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,AD) Deed Restriction; CSM <br /> 101 2ND ST,NEW GLARUS,WI,53574 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)219-8048 DB.DOVETAILLLC@GMAIL.COM 0 Site Plan dr to Cale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes nsions <br /> AGENT NAME CONTRACTOR NAME <br /> DOVETAIL LLC 0 Site Plan inclucation <br /> AGENT ADDRESS CONTRACTOR ADDRESS of g septic <br /> 101 2ND ST <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks ✓����C( I <br /> NEW GLARUS,WI,53574 <br /> PHONE PHONE ❑Site Plan p o I from <br /> (608) 219-8048 applicabl �t� ip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DB.DOVETAILLLC@GMAIL.COM ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: 0 Elevation of property <br /> PARCEL 050/0907-134-9175-0 RH-2 8.07 fr.ntage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> • <br /> ROXBURY 13 1/4: NE 1/41/4: SE t ;{r:-..'f 'G <br /> ADDRESS: (approximately) 8044Leuth Rd <br /> ❑Sanitary permits <br /> CSM: 10,506 LOT SUBDIVISION BLOCK/LOT �•T.Tt 2 (public __. <br /> PROPOSED PROJECT INFORMATION STAFF—REVIEW <br /> PROJECT DESCRIPTION: <br /> NEW HOME ❑ Zoning District <br /> . MI This project is a new building or structure. ❑ Permitted Use?V <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: I� ❑ RU l Address <br /> FIEWER 174EPTIC 13-' 4. ∎9-— 0 0.3\A. existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) v <br /> 19.0 1.0 ❑ Wetland/Floodplain/ <br /> Shoreland (attachment)_ <br /> AREA TO NEAREST SQUARE FOOT: ...- — ` <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ E •'•nControl permit C�e "+"` \` <br /> BASEMENT: ST FLOOR: � �Q��� 1 rbBnCe, <br /> 0,0 2 gen, C� TOTAL SQUARE FOOTAGE: j <br /> �/`� �/`' I •i access) J <br /> 2ND FLOOR: 3RD FLOOR: <br /> 4-714471). T1 ❑ Revi e ptiCSurvey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ and a �l ,o4pt'I�ns. <br /> (Please round to nearest dollar) $ 300,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ao QDon't know <br /> 2. Is there a wetland or floodplain on or near the property? JYes go �on't know <br /> 3. Have you talked with the township about your project and are they in agreement? :Isles o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ONo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> ,‘17 r —F:. now <br /> 7. Is this to rrect violation? IN es r4 o <br /> 1 APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ -► -► <br /> 5N GIS oil <br /> \C\1311/ C\ <br />