Laserfiche WebLink
41 ' ES <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Deepak & Riti Jindal <br /> [Zonin St s;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> Deed trlCtion;CSM <br /> 7849 Starr Grass Drive Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 0 Site Pla d wn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and inclu es dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeanette Acker Premier Builders,Inc. E]Site Plan ' uding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 102 N Holiday Drive 102 N Holiday Drive <br /> (City State,Zip) (City,State.Zip) [Set ks <br /> Waunakee WI 53597 Waunakee WI 53597 <br /> PHONE PHONE [Site PI 'al from <br /> (608) 849-6770 (608) 849-6770 applic bI tt5wAship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeanette.acker @tds.net jeanette.acker @tds.net [Floor p104 scale <br /> PROPERTY/LOCATION INFORMATION (http://accossdane.co.danomlusi) Elevat f property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: El <br /> W PARCEL 0708-203-0407-0 frontag drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Middleton 20 1/4; NE %Y4: SW ❑Drive a -iwits <br /> ADDRESS' qk (sta ,'ty,lown) <br /> CSM: LO� SUBDIVISION 661 BLOCK/LOT <br /> ❑Sanita p?--Kits <br /> 117 Spruce Hollow o o (public, ivate) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home Construction ❑ Zonin� trrict <br /> 0 This project is a new building or structure. ❑ Permitt Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER , (7720 -- 0 RU - Address <br /> EWER EPTIC coo5 Z -xisting) <br /> HEIGHT IN ET: ! ( NUMBER OF STORIES: (Not including basement) <br /> 01 2.0 ❑ Wetlan "n oAdplain/ <br /> J Shored Mchment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: <br /> ❑ Erosi• C�@ntrol permit <br /> 1,860.0 -5'_1 71 TOTAL SQUARE FOOTAGE: j, (Sl•r/I,., turbance, <br /> 2ND FLOOR: 3RD FLOOR <br /> �/� filli g -ccess) <br /> 1,486.0 J� Revi Survey <br /> ESTIMATED CONSTRUCTION COST: —+ ♦ -.► --► -0. l /�Jo 06 and i onS. <br /> (Please round to nearest dollar) $ *�"v / <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake'? ........... [Yes jj No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes Jlo [Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes [No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes '4No <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)..,1t (0,-1' es ENO ODon't know <br /> 7. Is this to correct a violation? [Yes 12 No <br /> APPLICATION MUST BE SIGNED <br /> 545-112 141G3) <br /> (Continue on Back) —► —r -II. <br />