Laserfiche WebLink
ZONIN r '' w <br /> ERMIT APPLICATION ww .countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Fill biance Homes Inc <br /> OWNERADDR:. (Number,Street,City,State,Zip) Zoning Status;CUP; <br /> 5838 Grassla . Terrace Marshall,WI 53559 Deed Restriction; CSM <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)225-4594 ambiancehomesinc@charter.net si Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Ambiance Ho -. Inc Ambiance Homes Inc D Site Plan including location <br /> AGENT ADDRE'S CONTRACTOR ADDRESS of well/septic <br /> 5838 Grassla d errace 5838 Grassland Terrace <br /> (City,State,Zip) (City,State,Zip) 0 Setbacks <br /> Marshall,WI .3.59 Marshall,WI 53559 <br /> PHONE PHONE 0 Site Plan approval from <br /> +608) 225-4594 (608) 225-4594 applicable township. <br /> E-MAIL ADORES. E-MAIL ADDRESS <br /> ambi:n ehomesinc @charter.net ambiancehomesinc @charter.net El Floor plans to scale <br /> PROPERTY,LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P P rty <br /> DPARCEL 012/0911-183-6518-0 A-1 0.89 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Bristol 18 1/4: SE 1/41/: SW Fl Driveway permits <br /> ADDRESS: (state,county,town) <br /> 3 i 7- Lorrabud Lane <br /> CSM: LOT 37 SUBDIVISION BLOCK/LOT 0 Sanitary permits <br /> Winfield Estates Kalland Addition (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESC-I' ION: <br /> Single Famil R-sidential ❑ Zoning District <br /> . IN This pro'-• is a new building or structure. ❑ Permitted Use? <br /> DThis proj-• is an addition/alteration to an existing building or structure. <br /> SANITARY SER C:: PERMIT NUMBER: ❑ Rural Address <br /> I-:WER [EPTIC 13,201,500,224 (new/existing) <br /> HEIGHT IN FEE NUMBER OF STORIES: (Not including basement) <br /> 21.5 1.0 Cl Wetland/Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shoretand (attachment) <br /> (Outside dims s ons including unfinished area,attached garages and above grade decks or porches) <br /> ❑ ErosionControl permit <br /> BASEMENT: 1ST FLOOR: TOTAL SQUARE FOOTAGE: (slopes,disturbance, <br /> 1 8.6.0 2,947.0 j filling/access) <br /> 2ND FLOOR: 3RD FLOOR: 0.0 <br /> 4,813.0 <br /> ❑ Review Location Survey <br /> ESTIMATED INSTRUCTION COST: 220,000.00 and available options. <br /> (Please roun.� t• nearest dollar) ♦ -+ -• ♦ '♦ <br /> 1. The prop is within 300 feet of a stream or 1000 feet from a pond or lake? QYes EINo DDon't know <br /> 2. Is there a :- land or floodplain on or near the property? QYeslo EDon't know <br /> 3. Have you - ed with the township about your project and are they in agreement? [Yes ✓ lo <br /> 4. Has there •=en a zoning permit issued for this property in the past 5 years? DYes ON <br /> 5. Is this proj-c associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a locati•n -urvey required? (see reverse) 1 Yes �lo QDon't know <br /> 7. Is this to •r ect a violation? Dyes ✓INo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) - <br /> 545.112(4/08) <br />