Laserfiche WebLink
SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Casey and Krista Lund <br /> OWNER ADDRESS (Number,Street,City,State,Zip) n Zoning Status; CUP;Deed 718 Hubert St,Edgerton,WI 53534 Variance Restriction; CSM <br /> Vnce(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)449-6531 lundcasey @yahoo.com <br /> Ig Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> N/A Bernard Carley <br /> Q Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 238 Goede Rd <br /> (City,State,Zip) (City,State,Zip) o Setbacks <br /> Edgerton,WI,53534 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 884-9085 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> 0 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usn <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: 0 Elevation of property <br /> ❑PARCEL 0512-033-9280-0 A-2(a) 2.00 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Albion 3 1/4: SW %%: SW in Driveway permits <br /> ADDRESS: (state,county,town) <br /> 786 Aarback Rd, Edgerton, WI 53534 <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary permits <br /> 12,800 1 N/A (public,private) <br /> PROPOSED PROJECT INFORMATION -TAFF,REVW <br /> PROJECT DESCRIPTION: <br /> Accessory building g I X 0 / Ilf .r. ing District <br /> . aThis project is a new building or structure. a .errnitted _? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT ••NUMBER. 0 Rural s <br /> W <br /> EER [ N <br /> EPTIC 1 7 --149K - 60.34/1, (new/ isti <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 28.0 1.0 0 Wetland/#= v3 ,:6"I <br /> Shore . . (attach nt) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) " <br /> 0 ErcisionCon permit <br /> BASEMENT 1ST FLOOR: <br /> 3,240.0 ir TOTAL SQUARE FOOTAGE: j IOPes, li i1G$, <br /> ing/ s) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 3,240.0 Review Location Stirvet <br /> \\.2) <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ and evadable motions. <br /> (Please round to nearest dollar) $ 35,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes alo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ao ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? EYes ONo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ✓ZVo <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 2Vo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes �lo <br /> APPLICATION MUST BE SIGNED <br /> --�� (Continue on Back) -* <br /> 545-112(4/08) ?. • <br />