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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Wob-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Windsor Commons, LLC Zoning Status; CUP; <br /> SI OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 5440 Willow Rd. Ste. 101,Waunakee WI 53597 Variance(# ) <br /> HOME PHONE 'CELL PHONE E-MAIL ADDRESS <br /> (608)663-1445 i (608)234-4114 nick @alistargroup.net 0 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Kyo Ladopoulos L&L Solutions(Odysseas Ladopoulos,representative) n Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of welUseptic <br /> 5440 Willow Rd.Ste. 101 5440 Willow Rd. Ste. 101 <br /> (City,State,Zip) (City,State,Zip) 0 Setbacks <br /> Waunakee,WI 53597 Waunakee,WI 53597 <br /> PHONE PHONE 4 Site Plan approval from <br /> (608) 692-5234 (608) 445-4090 applicable township. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> kyo @allstargroup.net odysseas@alistargroup.net NI Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: � ACREAGE: NI <br /> tio PARCEL <br /> NUMBER 0910-293-9258-0 C72 CUP#1545 'i 33.00 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Windsor 29 y4: SW /4/4: SW Driveway permits <br /> ADDRESS: . ate,county,town) <br /> Windsor Commons Ave & Scattergood Lane _St - <br /> NI CSM: LOT SUBDIVISION BLOCK/LOT Sanitary pe Its <br /> 10,322 3 (public, private) ( �r/— <br /> _ <br /> (Lots 1&3 CSM 10322) )\ir <br /> PROPOSED PROJECT INFORMATION f '" `�"V E' <br /> St/1F.F�REVIE �'; <br /> PROJECT DESCRIPTION: <br /> 3-8unit buildings in the Town of Windsor. 2 buildings 2015& 1 building 2016 ❑ Zoning District <br /> . 12 This project is a new building or structure. <br /> ❑ Permitted Use? , I. <br /> ❑This project is an addition/alteration to an existing building or structure. ,R <br /> SANITARY SERVICE: PERMIT NUMBER: LI Rural Address:,:..- <br /> EWER [EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> To peak 35' 20.0 2.0 ❑ Wetland/Floodplain/ ` <br /> Shoreland (attachment <br /> AREA TO NEARS S UARE FOOT: <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ ErosionControl permit ±,, <br /> 8,755.0 1 TOTAL SQUARE FOOTAGE: 4, (slopes, disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 5,054.0 1 ,530.0 15,185.0 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ -► and available options. <br /> (Please round to nearest dollar) $ 1 ,992,000.00 <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? Yes No FIDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? CYes FIND <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# 1'545 ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) Yes 4No fDon't know <br /> 7. Is this to correct a violation? [_Yes ONo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -0 -4 --► <br /> 545-112(4/09) <br />