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All'Ct.0 <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web•App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> PogoBelle LLC. <br /> i MI <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Zoning Status; CUP; <br /> Deed Restriction;CSM <br /> 6065 Whippoorill Rd Cross Plains Wisconsin 53528 Variance(# ) <br /> HOME PHONE i CELL PHONE E-MAIL AI,DRESS <br /> (608)798-2094 I (608)333-7733 'schwartz @luminositynetworks.com 51 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRA TOR NAME <br /> Greg Roessler Roessler&Sons Construction 12 Site Plan includin cation ■ <br /> AGENT ADDRESS CONTRA TOR ADDRESS of well/septic <br /> 1825 Bourbon Rd 1825 Bourbon Rd <br /> (City,State,Zip) (City,State,Zip) Setbacks <br /> Cross Plains Wisconsin 53528 Cross Plains Wisconins 53528 <br /> PHONE PHONE —_� - 51 Site Pla :..'.'t em <br /> (608) 798-2291 (608) 798-2291 applica. e .e nsh',. <br /> E-MAIL ADDRESS E-MAILADDRESS <br /> Groessler @roesslerandsons.com Groessler @roesslerandsons.com 0 Floor plans O Cale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: 0 Elevation Of roperty <br /> la PARCEL C-2 2.69 frontage d wn to scale. <br /> NUMBER L� <br /> TOWNSHIP: Og48 019-0°k6>e t: Driveway per t <br /> Springfield 9 /a: T8N /a�Ia: R8E rs4e p„nty, o <br /> ADDRESS: <br /> 5 1 ;SS Corner of Darlin Dr and Muskie Dr ` Io( 1 Sanitary✓ Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT (public, private) <br /> 14,038 9 Commercial Center <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Building-Steel frame construction- l}e ,L c-e r ❑ Zoning t <br /> . 19 This project is a new building or structure. ❑ Permitt se? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ R -!Address <br /> EWER _ is•EPTIC 13,201,500,263 dap=xisting) <br /> HEIGHT IN FEET. NUMBER OF STORIES: (Not including basement) <br /> 19.0 2.0 ❑ Weti d/ I.4,• -in/ <br /> Sho a a =c ment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) 1--i Erosi• or. ;Id. <br /> BASEMENT: 1ST FLOOR: 9,000.0 I TOTAL SQUARE FOOTAGE: + (sio..`,= .i •ante, <br /> 2ND FLOOR v T 3RD FLOOR: ♦ filling/a e-s) <br /> 3,625.0 12,625.0 - -- ❑ Re on survey X55 <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ and a is, G <br /> (Please round to nearest dollar) $ 350,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes rNo QDon't know <br /> 2. Is there a wetland or floodplain on or near the property?.. []Yes No []Don't know <br /> 3. Have you talked with the township about your pro' ct and are they in agreement? []Yes ✓ o <br /> 4. Has there been a zoning permit issued for this pr perty in the past 5 years? []Yes ONo <br /> 5. Is this project associated with a rezonelCUP/varia'i ice(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) DYes �No ❑Don't know <br /> 7. Is this to correct a violation? L Yes 4No <br /> APPLICATION MUST BE SIGNED��/j��\f/''�'� 1,,,,,i,r\ (Continue on Back) —► IG ED 4::, <br /> (1Xce_ (ifilef r- " -- }1,2( Of DC6f)/ A-,_b_ c <br /> 5112(410H) , �� ✓ <br />