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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION <br /> OWNER NAME CUSTOMER TO PROVIDE <br /> Jason &April Corraro <br /> OWNER ADDRESS (Number,Street,City,State,Zip) ❑Zoning Status; CUP; <br /> 7427 Harmony Pond Rd,Dane,WI 53529 Deed Restriction; CSM <br /> HOME PHONE CELL PHONE ariance(# ) <br /> E-MAIL E-MAILADDRESS <br /> april.corraro@gmail.com D Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AG T NAME CONTRACTOR NAME <br /> DO\I.L <br /> - 4 a Madison Deck Company D Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 582 Enterprise Dr <br /> (City,State,Zip) (City,State,Zip) D Setbacks <br /> Lake Mills WI 53551 <br /> PHONE PHONE D Site Plan approval from <br /> E-MAIL ADDRESS <br /> (920) 945-0130 applicable township. <br /> E-MAIL ADDRESS <br /> madisondeckcompany @gmail.com D Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: D Elevation of property <br /> DPARCEL 080 805400890 <br /> NUMBER R1-A 1.15 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Springfield TO8NRO8E 5 <br /> 1/4: NE <br /> /4A+ + : SE ❑ Driveway permits <br /> ADDRESS: (state,county,town) <br /> 7427 Harmony Pond Rd <br /> CSM: 56 LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> 9 Harmony Pond 9 (public,private) <br /> PROPOSED PROJECT INFORMATION <br /> STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Deck ❑ Zoning District <br /> ❑This project is a new building or structure. <br /> ❑ Permitted Use? <br /> o This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ RuralAddress <br /> FIEVVER FEPTIC (new/emoting) <br /> HEIGHT IN FEET LL4���+++ NUMBER OF STORIES: (Not including basement) <br /> ❑ Wetland/Floodplainl <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1 ST FLOOR: ❑ ErosionControl permit <br /> j TOTAL SQUARE FOOTAGE: j (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: t filling/access) <br /> 540.0 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) $ 13,000,00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Dyes Al o DDon't know <br /> 2. Is there a wetland or floodplain on or near the property? Dyes o DDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes Dlo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Yes DNo <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) Dyes .Ego DDon't know <br /> 7. Is this to correct a violation? i3 es DNo <br /> APPLICATION MUST BE SIGNED <br /> 545- (4/08) (Continue on Back) -* -► -► <br />