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1 SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME RYAN & STEPHANIE BALLWEG <br /> ❑Zoning atu , UP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed R s Ctlon; CSM <br /> 9389 BLACKHAWK TRL,SAUK CITY,WI 53583 Variance # ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)212-7349 STEPHBALLWEG @HOTMAIL.COM ❑Site Plan drawn to scale n-e-ek <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions t1 <br /> AGENT NAME CONTRACTOR NAME rr <br /> DAN SCHOEPP DO-ALL CONSTRUCTION ❑Site Pla in••ding location—a 1f <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/s-• c <br /> W12163 HWY J W12163 HWY J <br /> (City,State,Zip) (City,State,Zip) ❑$et,-. S <br /> LODI,WI 53555 LODI,WI 53555 <br /> PHONE PHONE ❑Site PI-Ir - •i1•val from <br /> (608) 212-1214 (608) 212-1214 appli - • ; ■T" ship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DO-ALLDAN @HOTMAIL.COM DO-ALLDAN @HOTMAIL.COM ❑Floor pla046 scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑Elevatign gf/property <br /> ❑PARENT PARCEL UMBER:NUMBER 050 Qo7--1 g y-�59 CURRENT ZONE, ACREAGE: i <br /> PARCEL „� rl�i► 0.67 frontag yawn to scale. <br /> TOWNSHIP: SECTION: <br /> ROXBURY +/4: +/,/4: ❑Dnvewa pe its <br /> I O'AD RESS: FLYHAWK LANE, SAUK CITY, WI 53583 (state,co y,town) <br /> ❑Sanita a Its <br /> CS LOT SUBDIVISION BLOCK/LOT <br /> 29 BLACKHAWK FIELDS (public, • ate) r/V\ <br /> PROPOSED PROJECT INFORMATION 4 = n " "°' <br /> PROJECT DESCRIPTION: ; <br /> 1:1:4611*;;' F P;1 <br /> . 0 This project is a new building or structure. <br /> ❑This project is an addition/alteration to an existing building or structure. # <br /> SANITARY SERVICE: PERMIT NUMBER: ¢ <br /> EWE EPTIC <br /> I 13,201,500,320 r/— : <br /> HEIGHT IN FE • (1V NUMBER OF STORIES: (Not induding basement) <br /> / <br /> / ' ` 20.0 <br /> AREA TO NEAREST SQUARE FOOT: '',,:—z-47,,,,, <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ;'3 <br /> BASEMENT: 2,124.0 1ST FLOOR: 3,491.0 4, TOTAL SQUARE FOOTAGE: + - <br /> 2ND FLOOR: 3RD FLOOR: 5,615.0 <br /> ESTIMATED CONSTRUCTION COST: <br /> (Please round to nearest dollar) -♦ "' -i -+ ♦ ♦ $ 320,450.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes ✓alo 00on't know <br /> 2. Is there a wetland or floodplain on or near the property? :Yes Do JDon't know <br /> Q <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 ao <br /> 5. Is this pro-•+ - ••:- -• ,'th a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6: • survey require• . - K. , �•, .. 4,.. , ;.?.; � x .'ANIMIIIIINIWIMOOS <br /> 7. Is this to correct a violation? [Yes a10 <br /> 1., -t) 5C`, (/ „ APPLICATION MUST BE SIGNED <br /> : ,� y+i Continue on Back) -o. -► -► <br />