Laserfiche WebLink
'ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Kopke's Fruit of the Bloom Greenhouse 4 ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> ilia Sand Hill Rd.,Oregon,WI 53575+ Deed Restriction; CSM <br /> `+ �4� Var nce(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS `fit <br /> (608)347-5588 (608)347-5588 gokopke�s 'oo.com 1 t►.Ite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATIOy_ i and includes dimensions <br /> AGENT H&H Solar Energy Services, Inc. H&H Solar Energy Services, Inc.• �,�� <br /> gy Energy � ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 818 Post Rd. 818 Post Rd. ,�`�� <br /> (City,State,Zip) (City,State,Zip) OQ` ❑Setbacks <br /> MAdison,WI 53713 MAdison,WI 53713 <br /> PHONE PHONE <br /> ❑Site Plan approval from <br /> (608) 273-4464 (608) 273-4464 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> adamg @hhsolar.org adamg @hhsolar.org ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.ctane.wLus/) El Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> NI PARCEL 061032286506 G4-Agricultural 20.10 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Dunn '/e: ys : ❑ Driveway permits <br /> ADDRESS: (state,county,town) <br /> 1822 Sand Hill Rd., Oregon, WI 53575 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public, private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Ground mounted solar electric system,fixed(not tracking) ❑ Zoning District <br /> . ig 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 [)EPTIC (new/existing) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> ❑ 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: ❑ ErosionControl permit <br /> j TOTAL SQUARE FOOTAGE: +, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 0.0 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) '+ ♦ ♦ — — — $ 20,375.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑lies ONo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes ONo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes ❑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) Elves '4No ['Don't know <br /> 7. Is this to correct a violation? Eyes 12No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ ♦ -0 <br /> 545-112(8/09) <br />