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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME f <br /> Scott Tatzel / <br /> Zoning Status; CUP; 2 <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 6459 Hickory In,Waunakee,WI 53597 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)358-8806 smtatzel @uwmalumni.com i <br /> �� Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME r� <br /> Site ' : - .• uding location G <br /> AGENT ADDRESS CONTRACTOR ADDRESS o '-II/septic <br /> (City,State,Zip) (City,State,Zip) 71 Setbacks ,eS t/ /0 ,51 <br /> PHONE PHONE Site Plan approval from /) <br /> applicable township. //�' <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> 1•'d Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wLusn levation of property l i <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: !� <br /> ❑PARCEL 0909-354-6220-9 R-1 0.78 frontage drawn to scale. / <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Vienna 35 %/4. SE 1/1/4: SE ,/1 Driveway permit <br /> ADDRESS: (state,countyy. <br /> 6459 hickory In <br /> ary is <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanit(public <br /> Hickory meadows 56 <br /> PROPOSED PROJECT INFORMATION t* I <br /> PROJECT DESCRIPTION: 2— <br /> Build Deck on West side of existing building and Install a.ditional parking area on North side of building aii'i l i Lt ' x-- r, <br /> This project is a new building or structure. 2 <br /> Pornitted U / <br /> OThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVI E: PERMIT NUMBER: 4 <br /> EWER FIEPTIC 1r + <br /> HEIGHT IN F T. NUMBER OF STORIES: (Not including basement) <br /> 3.0 / aptactertt ' i�- <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ,, <br /> BASEMENT 1ST FLOOR: rpti3ltMGgt1't L!P <br /> 340.0 4, TOTAL SQUARE FOOTAGE: ,t` s e, / <br /> ttglatxe°s / <br /> 2ND FLOOR 3RD FLOOR: 340.0 I <br /> Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: -+ -. -. -+ -► end avail ns. <br /> (Please round to nearest dollar) 3,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes ONo Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Dies NiNo ODon't know <br /> 3. Have you talked with the township about your project and are they in agreement? Dies INNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Oyes 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) Oyes '4No ODon't know <br /> 7. Is this to correct a violation? Oyes 15I No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ ■ -► <br /> 545-112(4/08) <br />