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& t •33 <br /> ZONING PERMIT APPLICATION ww .countyofdane.com SUPPLEMENT to Web-App# <br /> w <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Premier Builders, Inc ❑Zoning Sta s;C <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restr t• ; CSM <br /> 102 N Holiday Drive Waunakee WI 53597 Variance(# ) <br /> HOME PHONE CELL'PHONE E-MAIL ADDRESS <br /> (608)849-6770 (608)576-7240 jeanette.acker @tds.net ❑Site Plan dr•'Q4 ale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes • ensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeanette Acker Premier Builders,Inc. ❑Site Plan including location c7 <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 102 N Holiday Drive 102 N Holiday Drive n/ <br /> (City State.Zip) (City,State.Zip) ❑Setbacks <br /> Waunakee WI 53597 Waunakee WI 53597 <br /> PHONE PHONE <br /> E]Site Phicelpproval from <br /> (608) 849-6770 (608) 849-6770 appli able township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeanette.acker @tds.net jeanette.acker @tds.net ❑Floor planale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.ca.dane.wi.uel) ❑Elevation of o rty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE. <br /> 0 PARCEL 0708-293-1078-0 frontage dra o scale. <br /> NUMBER <br /> TOWNSHIP: SECTION 1 <br /> Middleton 29 /4; NE 1/41/,,: SW ❑Driveway TOY/ <br /> ADDRESS: ^ 5 r 1 1� Uccle&O A <br /> (state, coun wn) <br /> CSM e LOT o SUBDIVISION BLOCK/LOT Sanl hnits <br /> (3 Tumbledown Trials (publi rivate) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> new home construction ❑ Zoning CXstrict <br /> 0 This project is a new building or structure. ❑ Permittev <br /> OThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: ��PERMIT NU U Rural Address <br /> ❑iEW'ER [EPTIC C ��� ee /existing) <br /> NEIGHj�IN FEET: NUMBER OF ST✓✓✓ORIES: (Not including basement) �•/ <br /> 9/�J��,l/� 22.0 1.0 ❑ Wetland/Flo pl a <br /> Wetland/Flo <br /> and ( ent) <br /> AREA TO NEAREST SQUARE FOOT: c-, <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> ��_..___... ..._ ErosionControl permit r. <br /> BASEMENT 3,232.0 1ST FLOOR: 4#27.6- <br /> �L 1 O0 2-12. 1 /^� <br /> TOTAL SQUARE FOOTAGE: (slopes,distUrbanC�Ed�r/� / <br /> filling/access) Y� '��j-�w/ <br /> 2ND FLOOR'. 3RD FLOOR'. 7 .0 55e <br /> ❑ Revie I_ cati urvey <br /> ESTIMATED CONSTRUCTION COST: ��) and av i o <br /> (Please round to nearest dollar) -► --► -► $.-.� J e2 1 Q d <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Des ONo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yeslo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? ❑Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Des ONo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (I-ave blank if none) <br /> 6. Is a location survey required? (see reverse) 4- 3 p14,,, -s ❑No pDon't know <br /> 7. Is this to correct a violation? 11 es 1g No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -r -r -r <br /> ::45-112(44)f,,, <br />