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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 /> Richard & Nicole Sachse <br /> isi Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street.City,State.Zip) <br /> Deed Restriction; CSM <br /> Variance Talons Way Verona,WI 53593 nce(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (920)980-6077 rnsachse @gmail.com Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jason Franzen Hart DeNoble Builders, Inc MI Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7923 Airport Road 7923 Airport Road <br /> (City,State,Zip) (City,State,Zip) 0 Setbacks <br /> Middleton,WI 53526 Middleton, WI 53562 <br /> PHONE PHONE 13 Site Plan approval from <br /> (608) 831-4422 (608) 831-4422 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jfranzen @denoblebuilders.com 0 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.aane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRE ZONIN : ACREAGE: 0 Q Elevation of property <br /> ['PARCEL 0708-301-6821-0 frontage drawn to scale. <br /> NUMBER 1 ��-- <br /> TOWNSHIP: SECTI ('� m� L-1 <br /> Middleton v '/4: " i— '/4'/4: 0 Driveway permits <br /> (state,county,town) <br /> ADDRESS: ^ (, \ 1O m E bri'- ve._. <br /> 0 Sanitary permits <br /> CSM: '\(^JCCC���J LOT 21 1/ SUBDIVISION BLOCK/LOT <br /> Cherrywood Forest (pu% ic,private) <br /> PROPOSED PROJECT INFORMATION S AFF REVIEW <br /> PROJECT DESCRIPTION: p <br /> New Single family Residence NA / c) r II • ing District <br /> . MIThis project is a new building or structure. • ' ermitted Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER a ddress <br /> EWER [EPTIC 1 3,201,400,305 (new/ fisting) <br /> � <br /> HEIGHT IN FEET: � ' NUMBER OF STORIES: (Not including basement) <br /> 2.0 ❑ Wetland/Flo lain/ <br /> Shorela (attachment <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> ❑ ErosionContr ermit <br /> BASEMENT 1ST FLOOR <br /> 2,546.0 <br /> 4,126.0 4, TOTAL SQUARE FOOTAGE: 4, (slopes,di rbance, <br /> filling/ ess) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 3,068.0 <br /> 9,740.0 ❑ R view Location Survey /0 <br /> ESTIMATED CONSTRUCTION COST: ♦ .- $ 980 000.00 and available options. 4 <br /> ♦ <br /> (Please round to nearest dollar) $ 980,000.00 <br /> The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes ✓ONo Don't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes IgNo ODon't know <br /> 3. Have you talked with the township about your project and are they in agreement? JYes rg No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ['Yes 12 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) OYes O No ODon't know <br /> 7. Is this to correct a violation? ['Yes ONo <br /> O APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ -+ -+ <br /> 545-112(4i08) ..7 0 % <br />