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ZONIN I PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CU -TOMER TO PROVIDE <br /> OWNER NAM; <br /> arl and Laura Dettmann <br /> IN r Ing Status; CUP; <br /> OWNER ADD- . (Number,Street,City,State,Zip) ed Restriction; CSM <br /> 4200 Coun y P,Cross Plains,WI,53528 ariance(# ) <br /> HOME PHONa' CELL PHONE E-MAIL ADDRESS <br /> (608)575-2692 karldettmann @gmail.com •te Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION nd includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Andy Fieber Same as Agent �Lbo aiirrojet.st u. . S. a Plan including location <br /> AGENT ADDR:S' CONTRACTOR ADDRESS well/septic <br /> P.O.Box 45.0 <br /> (City,State,Zip (City,State,Zip) Setbacks <br /> Madison,WI 5:744 <br /> PHONE PHONE ❑ ite Plan app from <br /> (608) 209-2183 ppli :• ownship. <br /> E-MAIL ADDR .S E-MAIL ADDRESS <br /> :n syf @aldopartners.com Fl.•r plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: IN 'levation of property <br /> ❑PARCEL 020/0707-152-9670-0 Al-EX ( frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTIq N: <br /> Cross Plains / 1/4. %1/4: r` ❑ Driveway per . <br /> ADDRESS: (state, cou , town) <br /> 4'10 County Highway P, Cross Plains, WI <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary •- colts <br /> 13,8 4 (public, private) <br /> PROPOSED PROJECT INFORMATION TAFF REVIEW <br /> PROJECT DES ' PTION: <br /> Agricultural -ssory Buildings 5 'oning District <br /> aThis pry - t is a new building or structure. `' Permitted U <br /> ❑This pr• - t is an addition Iteration to an existing building or structure. <br /> SANITARY SE' E: PERMIT NUMBER: ❑ Rural ddress , <br /> I :EWER EPTIC (new/e Istln <br /> HEIGHT IN FE: NUMBER OF STORIES: Not including basement) <br /> OA -35:er 2.0 ❑ Wetland/ odplain/ <br /> Shor nd (attachme <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dim-n.ions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ EroslonCOn permit <br /> 48.0 9,033.0 j TOTAL SQUARE FOOTAGE: j, (slopes sturbance, <br /> fillin ccess) <br /> 2ND FLOOR: ,t 88.0 3R0 FLOOR: 0.0 14,669.0 <br /> ❑ Review Location Surve a <br /> ESTIMATE§ C INSTRUCTION COST: and available o tions.(Please rou d • nearest dollar) -+ ♦ ♦ "♦ -+ -* $ 600,000.00 p <br /> 1. The prop- , is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ONo ❑Don't know <br /> 2. Is there a w-tland or floodplain on or near the property? ❑Yes No ❑Don't know <br /> 3. Have yo t-Iked with the township about your project and are they in agreement? :Yes JNo <br /> 4. Has they: b-en a zoning permit issued for this property in the past 5 years? QYes ❑No <br /> 5. Is this pr•je t associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a locatio survey required? (see reverse) ❑Yes siNo ['Don't know <br /> 7. Is this to Oo rect a violation? ❑Yes IN No <br /> / '? <br /> 1(50 APPLICATION MUST BE SIGNED <br /> t" (Continue on Back) -► -► -9. <br /> 545-112(4/08) <br />