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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 /> Linda Murwin <br /> Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> Variance(# ) <br /> HOME PHONE 1 CELL PHONE E-MAIL ADDRESS <br /> sfrohling @tobhomes.com 0 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Sue Frohling TIM OBRIEN HOMES <br /> AGENT ADDRESS y El Site Plan including location <br /> CONTRACTOR ADDRESS of well/septic <br /> 2601 Crossroads Dr.,Ste 140 2601 Crossroads Dr.,Ste 140 <br /> (City,State,Zip) (City,State,Zip) Igi Setbacks <br />. Madison,WI 53718-7981 Madison,WI 53718-7981 <br /> PHONE PHONE <br /> ❑Site Plan approval from <br /> (608) 661-1100 (608) 661-1100 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sfrohling @tobhomes.com sfrohling @tobhomes.com rg Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (httpJ/accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 068/0910-294-4093-0 R-2 0.28 frontage drawn to scale. <br /> NUMBER I <br /> TOWNSHIP: SECTION: <br /> Town of Windsor 29 1�4; SW 1/4' : SE ❑Driveway permits \ <br /> ADDRESS: (state county,town) <br /> Lot 83, Wolf Hollow Q W ?ro6i-u-Cceiz. Rci CSM: LOT SUBDIVISION BLO cK d Sanitary permits (l` <br /> 83 Wolf Hollow (public, private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> SINGLE FAMILY HOME ❑ Zoning District <br /> 0 This project is a new building or structure. ❑ Permitted Use? <br /> 0This project is an addition/alteration to an existing building or structure. rr <br /> SANITARY SERVICE: PERMIT NUMBER: t.3 Rural Address <br /> rvIEWER PEPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 22.0 1.0 Li Wetland/Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: <br /> Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 11STFLOOR ❑ ErosionControl permit <br /> 1,847.0 2,406.0 4 TOTAL SQUARE FOOTAGE: j (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: <br /> filling/access) <br /> 4,253.0 <br /> ESTIMATED CONSTRUCTION COST: T ❑ Review Location Survey <br /> (Please dollar) —' $ 247,215.00 and available options. <br /> Please round to nearest dollar <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes ✓ 'Jo QDon't know <br /> 2. Is there a wetland or floodplain on or near the property? Efres J■o QDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes 'lo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes [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) [Yes ao QDon't know <br /> 7. Is this to correct a violation? QYes 1g No <br /> APPLICATION MUST BE SIGNED <br /> 545.112(4/0(1) (Continue on Back) —4. --t• -+ <br /> 1 <br />