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ZONING PERMIT APPLICATION iww.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CU•TOMER TO PROVIDE <br /> OWNER NAME <br /> Jeffrey Pi itone <br /> y P ►r Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State.Zip) <br /> Deed Restriction; CSM <br /> 6470 Highway 19,Waunakee,WI 53597 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL AQDRESS <br /> (608)849-1982 (608)334-5021 jpipitone @yahoo.com p Ite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION nd includes dimensions <br /> AGENT NAME CONTRA TOR NAME <br /> ite Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well/septic <br /> (City,State,Zip) (City,State,Zip) Set cks <br /> PHONE PHONE 1 ❑Si P.la proval from <br /> cable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> oor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usn <br /> PARENT PARCEL NUMBER: CURRENTI ZONING: ACREAGE: Elevation of props <br /> ❑PARCEL 056/0808-122-8360-0 R-1 DCI'REZ-2014-10733 0.83 frontage drawn tel <br /> NUMBER <br /> TOWNSHIP: SECTION,: j� '�+ -- <br /> Town of Springfield .-#8$- 1/4: NW1 1/41/4, o - '-' ❑Drivewa ermits <br /> ADDRESS: - ---- (stat ounty, n) <br /> 6470 Highway 19, Waunakee, WI 53597 <br /> CSM: LOT SUBDIViiION -BLOCK/LOT III Sanitary ermits <br /> (pubf ,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Garden Storage Shed (0 ><a0 re 'oning District <br /> . ri This project is a new building or structure. • Permitted ? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMITtiIUMBER: ❑ Rural dre s• <br /> EWER FIEPTIC (new/e stln <br /> i <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 9.0 1.0 CI Wetlan oodplain/ <br /> AREA TO NEAREST SQUARE FOOT: Sho and (attachment) <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) I—, ErosionCOntr ermit <br /> BASEMENT: 1ST FLOOR: <br /> 200.0 4 TOTAL SQUARE FOOTAGE: 4 (slopes, • urbane, <br /> fillip ss) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 200.0 ❑ R view Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) ♦ "+ $ 1 ,800.00 <br /> i <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes NINo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes allo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ❑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 ❑No Don't know <br /> 7. Is this to correct a violation? t ❑Yes ig No <br /> ..."---'4H <br /> Q 5 (-- APPLICATION MUST BE SIGNED <br /> (Continue on Back) -r -■ <br /> 545-112(4/08) r <br />