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DCPZP-2015-00123
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DCPZP-2015-00123
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5/15/2015 1:12:54 PM
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Zoning Permits
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DCPZP-2015-00123
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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 /> Daniel R. Vieth ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State.Zip) Deed Restriction; CSM <br /> 7892 W Mineral Point Rd Variance(# <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)279-9000 ! (608)279-9000 dan @viethconsulting.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Self ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> Self <br /> (City,State.Zip) (City,State,Zip) ❑Setbacks <br /> PHONE PHONE ❑Site Plan approval from <br /> applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ❑ Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (hitp://accessdane.cadane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 038-0708-193-9286-0 AG-1 1.99 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Middleton '/a: '/a'/a: ❑ Driveway permits <br /> ADDRESS (state, county,town) <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> 7,535 2 (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION <br /> Pole Barn/Shed Li Zoning District <br /> This project is a new building or structure. <br /> © Permitted Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE PERMIT NUMBER ❑ Rural Address <br /> EWER OEPTIC (new/existing) <br /> HEIGHT IN FEET: " NUMBER OF STORIES: (Not including basement) <br /> 18.0 1.0 U Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> ErosionControl ermit <br /> BASEMENT: 1ST FLOOR: p <br /> 2,880.0 4, TOTAL SQUARE FOOTAGE: ,, (SIOpes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: <br /> felling/access) <br /> 2,880.0 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available O tions. <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ $ 15,864.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes 4No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Yes EINo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? Dies ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dies 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 '4No ['Don't know <br /> 7. Is this to correct a violation? ❑Yes MINo <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4108) <br /> (Continue on Back) -4 –► - <br />
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