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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CU •TOMER TO PROVIDE <br /> OWNER NAME <br /> Craig McNulty <br /> N, Zo ing Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) D ed Restriction; CSM <br /> 2750 Sandven Rd,Cottage Grove,WI 53527 _ V rlanCe(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)444-4129 cmcnulty2 @msn.com ite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Christensenc Construction ' e Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well/septic <br /> 1117D Jonathon Drive <br /> (City,State,Zip) (City,State,Zip) Setbacks <br /> Madison,WI 53713 <br /> PHONE PHONE ❑ to Plan proval from <br /> (608) 514-3511 ppl. a township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jon @christensenconstruction.net Fl or plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: evation of prope <br /> ❑PARCEL 018/0711-321-8780-6 A-2 945 frontage draw o scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: n, <br /> Town Of Cottage Grove 32 1/4: 1/1/a: , " ❑Drive permit <br /> ADDRESS: (St ,county •wn) <br /> 2750 Sandven Rd, Cottage Grove, WI 53527 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanita• •ermits <br /> (f:u• c,private) <br /> PROPOSED PROJECT INFORMATION •TAFF REVIEW <br /> PROJECT DESCRIPTION: _ <br /> Garage addition-20'x24' ■ -oning District <br /> This project is a new building r structure. • Permitted;.Us . <br /> 4This project is an addition/ eration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Fe <br /> EWER EPTIC (new/ xisting) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not mdu in basement) <br /> 13.7 1.0 ❑ Wetland dplain/ <br /> Shore d (attachme <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 1ST FLOOR: 1---. ErosionCo permit <br /> 480.0 4 TOTAL SQUARE FOOTAGE: 4 (slopes sturbance, <br /> 2ND FLOOR: 3RD FLOOR: <br /> filling/ cress) <br /> 480.0 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ - — ♦ ♦ -► and available options. <br /> (Please round to nearest dollar) $ 53,600.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Y s ®No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? es 0 o ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? es . o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? es �INo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (I ave blank if one) <br /> 6. Is a location survey required? (see reverse) es ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes o <br /> 545-112(4/08) APPLICATION MUST BE SIGNED <br /> (Continue on Back) -i -► - <br /> r._ <br /> ji <br />