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ZONING PERMIT APPLICATION www.countyofdane.com . E=5=2:1EM <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME TIM OBRIEN HOMES <br /> ®Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 4868 HIGH CROSSING BLVD,MADISON,WI 53704 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)661-1100 sfrohling @tobhomes.com IN Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Sue Frohling TIM OBRIEN HOMES ❑Site Plan' uding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of w eptic <br /> 4868 HIGH CROSSING BLVD 4868 HIGH CROSSING BLVD <br /> (City,State,Zip) (City,State,Zip) IN Setbacks <br /> MADISON,WI 53704 MADISON,WI 53704 •c <br /> PHONE PHONE ❑Site Plan ap oval from( <br /> (608) 661-1100 (608) 661-1100 applicab ownship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sfrohling @tobhomes.com 1151 loor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) �I <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: u Elevation of property <br /> ❑PARCEL 068/0910-294-2217-0 R-2 0.36 frontage draw o scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: N <br /> TOWN OF WINDSOR(09) 29 1/4: NW l/4l/4. SE ❑Drivewa ermits <br /> (state OUnty,town),*e.: <br /> ADDRESS: <br /> Q Dusky Glen <br /> 0 Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 67 <br /> V WOLF HOLLOW (p •lic,private) <br /> PROPOSED PROJECT INFORMATION - ��; ` <br /> PROJECT DESCRIPTION: 4 p <br /> SINGLE FAMILY HOME �( <br /> . <br /> . lig This project is a new building or structure. , <br /> ❑This project is an addition/alteration to an existing building or structure. �, 1 ., <br /> SANITARY SERVICE: PERMIT NUMBER: ` (- ,,� ,` <br /> EWER r)EPTIC G02 ) ;3 € et z r, <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) { /. t 's <br /> 28.0 2.0 © #d 7c; <br /> AREA TO NEAREST SQUARE FOOT: i <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) = 7 p. ` 4 <br /> BASEMENT: 1ST FLOOR: i `` <br /> 1'Z, f-� It ©�J _ j TOTAL SQUARE FOOTAGE: + ' ! '� <br /> 2ND FLOOR: 3RD FLOOR: t W i <br /> a r k�S4 � �s'�` <br /> 1.Ia�� 4t02.3 ,e, <br /> ESTIMATED CONSTRUCTION COST: '',� <br /> (Please round to nearest dollar) —' ♦ ♦ ♦ ♦ ♦ 'p 362,167.00 :i:Zr.t,gi <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes IN ODon't know <br /> 2. Is there a wetland or floodplain on or near the property? Eyes ENo ODon'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? ❑Yes ONo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) ❑✓Yes ENo ODon't know <br /> 7. Is this to correct a violation? EYes ONo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► -♦ <br /> 545-112(4/08) <br />