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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> ob & Ann Scidmore <br /> OWNER ADORE.S (Number,Street.City,State,Zip) IJ Zoning Status; CUP; A ,_.1 <br /> 3614 Ice Ase Trail, Madison,WI 53719 Deed Restriction; CSM <br /> LL Variance(# ) 64. <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 833.1 55 Is! Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAM: CONTRACTOR NAME <br /> Jason Fr.n.en Hart DeNoble Builders, Inc <br /> cg Site Plan including location <br /> AGENT ADD-.ES4. CONTRACTOR ADDRESS of well/septic <br /> 7923 Airps I Rd 7923 Airport Road <br /> (City,State,Zi.) (City.State,Zip) IN Setbacks <br /> Middleton 1 53562 Middleton,WI 53562 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 831-4422 (608) 831-4422 applicable township. <br /> E-MAILADDR S. E-MAIL ADDRESS <br /> jfra z:n @denoblebuilders.com jfranzen @denoblebuilders.com 19 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PAREN PARCEL NUMBER: CURRENT ZONING: ACREAGE 0 Elevation of property <br /> ❑PARCE 090744-9000-'-I A-1 25.30 / Zp frontage drawn to scale. <br /> NUMBS' 11_ S00r <br /> TOWNSHIP: at,r d '- SECTION: <br /> Town of Roxbury 1 1/4: NE /1/,: SE / Driveway pe - <br /> ADDRESS: (state, coun town) <br /> : •4 Padley Road p sanitary .- <br /> CSM: LOT SUBDIVISION BLOCK/LOT (public, lab <br /> PROPOSED PROJECT INFORMATION STAFF REVI�J <br /> PROJECT DE. ••IPTION: <br /> New Sing - amity Residence Zoning District r•- <br /> This p • -ct is a new building or structure. Ne/Ae----ok <br /> Permitted Uses &Dc& ,,t <br /> ❑This p • -ct is an addition/alteration to an existing building or structure. <br /> SANITARY Ss- CE: PERMIT NUMBER ❑ Rural ', kif:114>ii......I.EWER EPTIC 13,201 ,500,162 (new/:� ' <br /> HEIGHT IN F:ET NUMBER OF STORIES: (Not including basement) <br /> 24.0 1.0 Wetland/Floodplain/ ,401 <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside di e siens including unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT 1ST FLOOR prosionControl permit /' <br /> P,438.0 3,088.0 + TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, (' <br /> 2ND FLOOR: 3RD FLOOR: filling/access) Ze /5 - <br /> 5,526.0 Review Location Survey 6'Z/7 <br /> ESTIMATED i ONSTRUCTION COST: Q and available options. <br /> (Please ro no to nearest dollar) -, — ♦ — - - $ 950,000.00 <br /> 1. The prose is within 300 feet of a stream or 1000 feet from a pond or lake? Des c2No ❑Don't know <br /> 2. Is there : etland or floodplain on or near the property? ❑Yes ✓No ❑Don't know <br /> 3. Have you alked with the township about your project and are they in agreement? Des ❑No <br /> 4. Has the e seen a zoning permit issued for this property in the past 5 years? ❑Yes cs No <br /> 5. Is this p oj-ct associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a Ioc.ti•n survey required? (see reverse) ❑Yes EgNo ❑Don't know <br /> 7. Is this t• c•rrect a violation? Des IsiNo <br /> 07 2 a / APPLICATION MUST BE SIGNED <br /> (Continue on Back) -i -► -► <br /> 545-112(4i08) <br /> $' 169, V_Y- <br />