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SUPPLEMENT to Web-App# <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Randy Langer, Langer Dairy Farms ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 7833 Helmke Road Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)444-2393 (608)444-2393 suelanger @aol.com ig Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Andrew Skwor,MSA Professional Services, Inc. Joel Oppriecht,Brickl Bros. Q Site Plan including location <br /> qr AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> s M 1230 South Boulevard 400 Brickl Road <br /> ki <br /> M (City,State,Zip) (City,State,Zip) Fi Setbacks <br /> Baraboo,WI 53913 West Salem,WI 54669 <br /> oI PHONE PHONE MI Site Plan approval from <br /> E-MAIL (608) 355-8936 E-MAIL ADDRESS (608) 769-7691 applicable township. <br /> (-\,.\ askwor @msa-ps.com joppriecht©bricklbros.com IN Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE. IN <br /> Q PARCEL 195707&195001 A-1(EX) 40.00 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Windsor 3 1/4. SE l/4�/4. NE ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 7833 Helmke Road, Deforest WI 53532 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New freestall barn for housing milk and dry cows. 04-4.310 ❑ Zoning District <br /> . 0 This project is a new building or structure. ❑ Permitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER r)EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not induding basement) <br /> 35.0 1.0 ❑ Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 1ST FLOOR: I—, ErosionControl permit <br /> 4, TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 46,624.0 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ ♦ ♦ $ 0.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes ❑No ['Don't know <br /> ❑ <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 project and are they in agreement'? [Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes FANo <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) Des QNo ❑Don't know <br /> 7. Is this to correct a violation? Eves ❑✓No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545112(4/08) <br />