Laserfiche WebLink
' ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Kim & Chris Garber ❑Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 7924 Bowman Rd Lodi,WI 53555 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)592-6696 (608)444-0047 garbs @dishmail.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Meigs Inc ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> PO Box 412 <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Black Earth,WI 53515 <br /> PHONE PHONE ❑Site Plan approval from <br /> (800) 236-7310 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ken @meigsbuilds.com ❑ Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑ Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 050/0907-011-8093-8 RH-3 2V.,•Z 8.33 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Roxbury 1 1/4: NE %/4+/4. NE ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 7924 Bowman Rd Lodi, WI 53555 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> 8,524 3 (public,private) <br /> PROPOSED PROJECT INFORMATION "G" €` - <br /> PROJECT DESCRIPTION: s ti ' <br /> Addition to Pole barn ` A. <br /> ❑This project is a new building or structure. U ;�. , - <br /> ig This project is an addition/alteration to an existing building or structure. 1 7 si;:;'1 <br /> SANITARY SERVICE: PERMIT NUMBER: <br /> , , &,,I �� <br /> _;,•:-.f:.::11':i:.:r;::.c EWER {EPTIC �# ��°" `� <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) " l' <br /> 1.0 yr E ..; . t. <br /> AREA TO NEAREST SQUARE FOOT: : - <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) : ' "r s <br /> BASEMENT: 1ST FLOOR: a gg {6, e ttr„-. - 3 <br /> 4, TOTAL SQUARE FOOTAGE: 4 ;..-.1:-4•`k ? - } +t $ ` <br /> 2ND FLOOR: 3RD FLOOR: ' i 11,rs i .,e ., ,, <br /> k <br /> 0.0 �c ; . a .,,,0 <br /> ESTIMATED CONSTRUCTION COST: Q� ' : <br /> (Please round to nearest dollar) ♦ ♦ "'* ♦ $ 21 ,286.00 'j , ' <br /> its <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? UYes alo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑✓Yes Elo Ion't know <br /> 3. Have you talked with the township about your project and are they in agreement'? ❑Yes lalo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes alo <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) Lives Elio QDon't know <br /> 7. Is this to correct a violation? Dies 0\lo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► <br /> 545-112(8/09) <br />