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ZONING PERMIT APPLICATION www.countyoklane.com om SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OMER NAME <br /> Nicholas Haun <br /> V nmg Status;CUP; <br /> OWNER ADDRESS (Number,greet,City,.State,Zip)) Deed Restriction; CSM <br /> 8508 Messerschmidt Dr.,Verona,WI 53593 Variance(# ) <br /> C. HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)797-3688 nbhaun@gmail.com S qiterCan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> rte Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of wel/septic <br /> (City,State,Zip) (City.Stye,Zip) -R?It . <br /> PHONE PHONE 1:11.‘ 'lan app • -,`om <br /> %• icable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> Q,Floor plans to scale V <br /> PROPERTY LOCATION INFORMATION (http: accessdane.co.dane.wi.us) . <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE' E anon of property <br /> El PARCEL 06,07- Z 74- $66 i-q Al 11.S Cage drawn to scale. <br /> TOWNSHIP: SECTION: Z7-l.- 7 7-1, p R-r IJ w yit bS I/4 )°-,-- <br /> Springdale ,/4: I/%: (S ,,(:ou ,town) <br /> /ADDRESS: <br /> 8508 Messerschmidt Dr., Verona, WI 53593 i <br /> ❑Sanitary permits <br /> CSM: LOT 2. SUBDIVISION BLOCK/LOT <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: ��� <br /> Garden shed ) A )1 !sit Zoning District <br /> . 151This project is a new building or structure. �� <br /> L� Permitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: Rural Address <br /> FIEWER DEFMC (new/existing) <br /> HEIGHT IN )-, P <br /> C-13 NUMBER OF STORIES: (Not indud ng basement) ti <br /> f 1.0 1Metlan;J •••plain/ <br /> Sh•. - - • (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: <br /> ❑ Erosio on"..'permit <br /> 216.0 j TOTAL SQUARE FOOTAGE: 4, ( ••- ' rbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/a•• ) <br /> 216.0 eview location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ -•► ♦ ♦ $ and available options. <br /> (Please round to nearest dollar) •P '5500.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes ✓]lo QDon't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes Do UDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? (✓JYes (, lo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ✓}lo <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) QYes alo ['Don't know <br /> 7. Is this to correct a violation? QYes ✓No <br /> APPUCATION MUST BE SIGNED <br /> 545-112(vas) <br /> (Continue on Back) -► -► <br />