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t • <br /> ZONING PERMIT APPLICATION wwwcollntyoldanecom SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION <br /> CLIPAER Cu TO PROVIDE <br /> OWNER NAME <br /> Matthew and Janel Christianson <br /> /OWNER ADDRESS (Number Street,City,State,bp) oning Status;CUP; <br /> 5729 Whippootwil Road Cross Plains,WI 53528 Deed Restriction;CSM <br /> Variance # ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)438-6355 (608)438-6355 .com <br /> ' lan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and indudes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> N/A Steve Greve&Son,Inc. Er Pite Induding location <br /> AGENT AD CONTRACTOR ADDRESS 15taseptic <br /> 4867 State Road 19 <br /> ( •State,ZIP) WAY.Stale,Z ) <br /> Waunakee,WI 53597 <br /> ONE PHONE ['Site.: G ' - :.• •val from <br /> (608) 575-1038 - • -- •o:township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS �, <br /> net E Fjllp/' ns to scale <br /> PROPERTY LOCATION INFORMATION (http accessdane.co.dane.wi.us ) - Ja�1on tlon of property <br /> PARENT PARCEL NUMBER: jCURRENTZONING: ACREAGE P perty <br /> ['PARCEL 0807-134-9500-6 0807-134-9500-6 0714\restderthal R N_ 3.95 tape drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Berry 13 %: SE /4+/4: SE 12rDriveway permits <br /> itiRgoESS.- Whippoorwill Road Cross Plains, WI 53528 ( ,county,town) <br /> [Sanitary • - j 8 <br /> CSM: LOT SUBDIVISION BLOCK/LOT `'�' n <br /> 14,002 1 N/A N/A (public,prtva : 'IE\r <br /> PROPOSED PROJECT INFORMATION °.�. <br /> PROJECT DESCRIPTION: <br /> Residential House v.,/ pt, C of C) <br /> 0 This project is a new building or structure. <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: — CI r _ <br /> > <br /> EWER 17t.EPTIC 13,201,500,221 t., r ' • <br /> M FEET NUMBER OF STORIES: (Nat inducing basement) —` Al jj �S 20.0 1.0 + ` f . i t --; e7!°°° J/� <br /> Yt _• 'off V7 9 IY i i . :' / <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions induding unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 2,231.0 1ST FLOOR 3,801.0 j _ ( \ <br /> TOTAL SQUARE FOOTAGE. 1 <br /> 2ND FLOOR: 3RD FLOOR <br /> 0.0 0.0 6,032.0 S <br /> ESTIMATED CONSTRUCTION COST: LL <br /> (Please round to nearest dollar) "♦ '� "♦ .. ♦ ' $ 395,000.00 . ' , \ <br /> 1. The property is within 300 feet of a stream or 1000 feet from a and or lake? 0 <br /> P rtY pond ['Yes ✓['No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ['Yes go QDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? JYes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ['Yes Olo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# 10'799 ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) ['Yes Jlo ODon't know <br /> 7. Is this to correct a violation? ['Yes ON o <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4108) <br /> (Continue on Back) -► ♦ -► <br />