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ZONING PERMIT APPLICATION www.countyofdane.comJ <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> American Transmission Company,LLC(Julie Purves) <br /> OWNER ADDRESS (Number,Street city,State,270 ❑Zoning Status;CUP; <br /> 5303 Fen Oak Drive, Madison,WI, 53718-8810 Deed Restriction;CSM <br /> HOME PHONE CELL PHONE IE-NWLADDRESS Variance(# ) <br /> (608)877-3631 jpurves@atcllc.com II Site Plan drawn to scale <br /> AGENT INFORMATION - ... <br /> CONTRACTOR i1NFORINAT9N and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Eppstein Uhen Architects(Michael Jelinek) Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 222 W.Washington Ave. <br /> (City,State,ZIp) 1(City.State,ZIP) r Setbacks <br /> Madison,WI 53703-2775 <br /> PHONE PHONE <br /> � <br /> (608)442-3953 Site Plan approval from <br /> applicable township. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> michaelj@eua.com $Floor plans to scale <br /> PROPERTY/LOCATION-INFORMATION (http:!laccessdane.co.dane.wi.usl) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: II Elevation of property <br /> ®NUMBE,R 0611-091-9000-8 A-I,G1 (8.11 Acres) 37.94 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> 06-Pleasant Springs 09 1/4: NE ,/4,/4, NW ,Q Driveway permits <br /> ADDRESS: (state,county,town) <br /> 2489 Rinden Road, Pleasant Springs,WI 53527-9598 <br /> CSM: LOT SUBDIVISION BLOCKfLOT ❑Sanitary permits <br /> N/A N/A (SUBDIVISION N/A I N/A (public,private) <br /> - <br /> PROPOSED PROJECT INFORMATION <br /> PROJECT DESCRIPTION: STAFF REVIEW <br /> New data center and office building addition. ❑ Zoning Disbict <br /> ❑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: 0 Rural Address <br /> EWER f,EPTIC (new/exishng) <br /> HEIGHT IN FEET. NUMBER OF STORIES: (Not Including basement) <br /> 21'-0" 1 story 0'--Wetland/FloodplainJ <br /> AREA TO NEAREST SQUARE FOOT: J Shoreland (attachment) <br /> (Outside dimensions Including unfinished area,attached garages and above grade decks or porches) <br /> " <br /> BASEMENT 1ST FLOOR: Q perm <br /> ft Onuantrot petlt <br /> NA 25,496 sq.ft. 4, TOTAL SQUARE FOOTAGE + ( (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: ll fllling/aooeSs) .- . <br /> NA NA 1 25,496 sq. ft. CI Review Location survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ � -r ♦ -i 8.5 million and available o <br /> (Please round to nearest dollar) ids. <br /> $8,200,000/$1,000=8 2, "$2.00=$16,400+$200 base fee=$16,600 total fee �■ <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [ Yes INo ]Don't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes o DDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? "Yes to <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Ffes Ds o <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (eave blank if none) <br /> 6. Is a location survey required? (see reverse) Ives r/slo UDon't know <br /> 7. Is this to correct a violation? QYes $No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/05) (Continue on Back) ■ -P -► <br />