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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 /> j J Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> Peed Restriction;CSM <br /> Variance(# ) �2 2-2 <br /> HOME PHONE 1 CELL PHONE E-MAIL ADDRESS <br /> IS Site Plan drawn to scale—) <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME �/ 7° <br /> Sue Frohling TIM OBRIEN HOMES rlYl Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of w441.46049– <br /> 4868 High Crossing Blvd. 4868 HIGH CROSSING BLVD 'j `/ <br /> (City,State,Zip) (City,State,Zip) '4 Setbacks 3 0//0 <br /> Madison,WI 53704 MADISON,WI 53704 <br /> PHONE PHONE 61 Site Plan approval from . I7� <br /> (608) 661-1100 (608) 661-1100 applicable township. N <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sfrohling @tobhomes.com sfrohling @tobhomes.com NI Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http:llaccessdane.co.dane.wi.us/) ! l <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: in Elevation of property <br /> 0 PARCEL 068/0910-294-4082-0 R-2 0.29 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Windsor 29 1/4: SW yl//. SE Driveway permiitt,1�;��, <br /> •unty •� <br /> ADDRESS: 6;4 t � Pre, ` C LOt 82, WOIf Hollow r, e y QS� <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary permits �;.- t N( <br /> 82 Wolf Hollow (public,private) V i <br /> , ra PROPOSED PROJECT INFORMATION EVI i/ot, <br /> PROJECT DESCRIPTION: 1_ CO r L 1!� IS A" <br /> SINGLE FAMILY HOME 1/� 7 O I-- clefs d2u, (Zorun9 District, "' J 777 <br /> . la This project is a new building or structure. ecAuw Permitted Use? / 22y. <br /> ❑This project is an addition/alteration to .• •is ing building or structure. <br /> SANITARY SERVICE: ,PERMIT NUMBER: '.r R 'ddressl <br /> .EWER •EPTIC ` xisting) <br /> HEIGHT IN FEET: NUMBE- • <br /> 28.6 2- ? 2.0 <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) ��0 <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) <br /> sionCorrtrol permit <br /> BASEMENT 1ST FLOOR: */.......0 p <br /> 1,220.0 1,948.0 j TOTAL SQUARE FOOTAGE: j (slopes,disturl ance, / I• <br /> filling/access). ,,p <br /> 2ND FLOOR: 1 18' �0 3RD FLOOR: 4 35 .0 j <br /> 4,350.0 Location Survey_ <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ andaVa lab1e options, <br /> (Please round to nearest dollar) $ 272,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [ Yes ao [Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Eves ,/ o DDon't know <br /> 3. Have you talked with the township about your project and are they in agreement'? JYes Jo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ✓No <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) [ Yes Ell\lo QDon't know <br /> 7. Is this to correct a violation? Elves ralo <br /> APPLICATION MUS <br /> 545112(4108) (Continue on B... <br />