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SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Matthew D. Meier, The Alexander Company, Inc <br /> ['Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 145 East Badger Road,Suite 200,Madison,WI 53713 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 268-8106 576-3478 mdm @alexandercompany.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Robert Mangas Bob Hougard,JH Findorff&Son ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 749 University Row,Suite#300 300 South Bedford Street <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Madison,WI 53705 Madison,WI 53703 <br /> PHONE PHONE ❑Site Plan approval from <br /> 274-2741 442-7348 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> robertm @potterlawson.com bhougard @findorff.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑Elevation of property <br /> ❑PARCEL 032/0709-363-2101-0 C2 2.95 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> • TO7NRO9E 36 1/a: 1/41/4: ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 145 East Badger Road <br /> El Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 1 1 (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Exact Sciences Clinical Process-Novation Campus Tech Building 1: Lab Expansion ❑ Zoning District <br /> . ❑This project is a new building or structure. <br /> Permitted Use? <br /> a This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER r)EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 24.0 2.0 Li Wetl2nd/Floodplain/ <br /> Shoretand (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) u <br /> BASEMENT 1ST FLOOR: 1,344.0 4, TOTAL SQUARE FOOTAGE: 4, (slopes,dislisbance, <br /> 2ND FLOOR: 3RD FLOOR: <br /> 1 ,344.0 Q Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ and options. <br /> (Please round to nearest dollar) $ 168,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ONO Jon't know <br /> 2. Is there a wetland or floodplain on or near the property? Dies EJVo Lon't know <br /> 3. Have you talked with the township about your project and are they in agreement'? [-Yes "lo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes ow <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 EiNo JDon't know <br /> 7. Is this to correct a violation? :Yes EINo <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) ■ —► <br />