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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Meffert Homestead, LLC <br /> ❑Zoning status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed R riction;CSM <br /> 5728 Easy St.Waunakee,WI 53597 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)235-8786 meffertfarm@tds.net ❑Site Plan dr,�Wn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> DO-ALL Construction ❑Site Plan' cl� 1pding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/sep' <br /> N1819 E. Harmon Rd <br /> (City,State,Zip) (City,State,Zip) ❑Setb6ks <br /> Lodi,WI 53555 <br /> PHONE PHONE ❑Site FI Q Yal-from <br /> appli b w ship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ❑Floor pl*o scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑El2vatl roperty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> 0 PARCEL 090933395009 A-1 Exclusive 40.00 frontage rawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> 1/41/4: SE ❑DriveW,g1 frTfifs <br /> Vienna 33 +/a: SW �`; ��`r�1 ty,(state u ty town) <br /> ADDRESS: <br /> 5728 Easy St. Waunakee, WI 53597 <br /> CI )� /� <br /> San' - 40 e)_2 ' -6'� <br /> CSM: LOT SUBDIVISION BLOCK/LOT (pu (}a a i, <br /> i _-, <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Freestall Barn ❑ Zonir4 5iistrict <br /> . 0 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 OEPTIC (new/en) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> /�,,, 1.0 ❑ Wet]. • , ,••plain/ <br /> T! Sh• '_ - 171,: Irchment) <br /> AR NEAREST SQUARE FOOT: <br /> (Outside dimensions ii luding unfinished area,attached garages and above grade decks or porches) .� ' .1 permit <br /> BASEMENT: 1ST FLOOR: ❑ OnCO �,�p,e��,,//��* �p�/ <br /> 0.0 15,600.0 1 TOTAL SQUARE FOOTAGE: 4, ( i.,,,„,..` trail �j , <br /> 2ND FLOOR: 0.0 3RD FLOOR: 0.0 15,600.0 14,05-_,,i r trail- �� r"—1 ✓✓✓/ <br /> ❑ Re /• tion survey��.. <br /> ii ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ _♦ ♦ Q and : - : •■ e options. <br /> (Please round to nearest dollar) $ Ill 0 5-DO <br /> �G <br /> -L/, <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes Olo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes 'lo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes IJVo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ENo <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) Ekes Elisio ❑Don't know <br /> 7. Is this to correct a violation? [Yes ao <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ -► <br /> 545-112(4/08) <br />