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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Ted & Jill Bier <br /> ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 5017 Piccadilly Dr.,Madison WI Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)843-1295 (608)843-9932 unirdna @hotmail.com 0 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 including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 4868 HIGH CROSSING BLVD 4868 HIGH CROSSING BLVD <br /> (City,State,Zip) (City,State,Zip) o Setbacks <br /> MADISON,WI 53704 MADISON,WI 53704 <br /> PHONE PHONE El 608 661-1100 Site Plan approval from <br /> ( ) (608) 661-1100 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sfrohling@tobhomes.com o Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) El Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 0910-294-4015-0 R-2 0.43 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> TOWN OF WINDSOR(09) 29 1/4. NW 1/41/4. SE ❑ Driveway permits <br /> ADDRESS: (state,county,town) <br /> Dusky Glen <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary permits <br /> 13,792 273 WOLF HOLLOW 273 (public,private) <br /> PROPOSED PROJECT INFORMATION ~ s <br /> PROJECT DESCRIPTION: <br /> SINGLE FAMILY HOME ' ', F � <br /> O This project is a new building or structure. { ;; - , <br /> This project is an addition/alteration to an existing building or structure. -f e �� Nom. <br /> SANITARY SERVICE: <br /> PERMIT NUMBER: ,4 -,r"?- ` ' {` <br /> NI-EWER ■.EPTIC , ' <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) � ,.. jz . Y <br /> 22.0 1.0 <br /> AREA TO NEAREST SQUARE FOOT: # 4, <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) � . , r ` <br /> 4 r � e <br /> BASEMENT: ✓ 1ST FLOOR: : <br /> 1 ,927.0 2,662.0 4, TOTAL SQUARE FOOTAGE: <br /> 2ND FLOOR: 3RD FLOOR: '''''';:sit'' <br /> 4,589.0 <br /> ESTIMATED CONSTRUCTION COST: ` f <br /> (Please round to nearest dollar) ♦ ♦ —r '♦ $ 276,250.00 ,y <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes jNo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes JVo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes ❑Vo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ✓❑Vo <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 EVo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓❑Vo <br /> APPLICATION Back)MUST BE SIGNED-► <br /> 545-112(4/08) <br /> ( ♦ <br />