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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 /> Jo*I & Jane Moritz ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 8919 Far View Rd, Mazomanie, WEI 53560 <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS Variance(# <br /> 608-798-1376 608-577-2984 jackmoritz @tds.net ❑Site Plan wn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Mark A Setzke Setzke Custom Homes Ltd ❑Site PIaE iruding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/ is <br /> 7319 Loper Road 7319 Loper Road ,j, ! <br /> City,State,Zip) (City,State,Zip) 0 Sett Cs <br /> Sauk Clty, WI 53583 Sauk City, WI 53583 <br /> PHONE PHONE ❑Site PI al from <br /> 608-643-3558 608-643-3558 appli t hip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> schomes @merr.com schomes @merr.com ❑Floor planslif scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑Elevation property <br /> PARENT PARCEL NUMBER: CURRENTZONING:pt1.1-S ACREAGE: <br /> El PARCEL 0807-162-9501-1 1 DCPREZ-0000- 8.2 S-c7 frontage d n to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> • Berry 16 +A. SE WA: NE ❑Drive s <br /> It <br /> ADDRESS: (Stat�OWn) <br /> 8919 Far View Rd, Mazomanie, WEI 53560 <br /> CSM: 7434 LOT 1 SUBDIVISION BLOCK/LOT <br /> El Pani its <br /> (pub , <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> 24' x 24' detached garage ❑ zoning Dt <br /> . 12 This project is a new building or structure. ❑ Permlist <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Add -ss <br /> [)EWER r)EPTIC (new/e ' ,) <br /> HEIGHT IN FEET: 1 6 NUMBER OF STORIES: (Not including basement) <br /> ' ❑ Wetia lain/ <br /> Shohment) <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 /> ❑ Eros n o •1 permit <br /> 576 + TOTAL SQUARE FOOTAGE: 1 (sloe ; • -/ •ance, <br /> 2ND FLOOR: 3RD FLOOR: fl111n- «•* -) <br /> 576 ❑ R lion Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ Q pr/ a[�/ options. <br /> (Please round to nearest dollar) Y <br /> 30/00 0 !00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes s10 00on't know <br /> 2. Is there a wetland or floodplain on or near the property? Ekes ✓ ['Don't Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? ❑ <br /> Yes DVo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes ✓❑sio <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 ✓�Vo ❑Don't know <br /> 7. Is this to correct a violation? Des ao <br /> APPLICATION MUST BE SIGNED <br /> �,� �a (Continue on Bask) -♦ ♦ -+ <br />