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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 /> Dan Frisch - Home Owner Assoc President <br /> ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 8090 Burr Oak Trail,Trail Cross Plains WI 53528 <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> danfrisch @netzero.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Sean Mitchen Busch Signs and Designs ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 8074 Burr Oak Trail 310 Locust Dr <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Cross Plains,WI 53528 Verona,WI 53593 <br /> PHONE PHONE Site Plan approval <br /> (608) 219-4463 (608) 848-1900 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> seanmitchen @gmail.com www.buschsigns.com/ ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑Elevation of property <br /> 0 PARCEL 070712274750 CO-1 43.40 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Cross Plains 12 <br /> 1/4: NW 1/41/4. NW ❑Driveway permits <br /> - <br /> ADDRESS: no parcel address available (state,county,town) <br /> ❑Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT (public,private) <br /> Oak Valley Estates 1 <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Replace Subdivison Sign-Oak Valley Estates,Town of Cross Plains-(32 SF in Area) ❑ Zoning District <br /> ra This project is a new building or structure. <br /> CI Permitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> 1)EWER J)EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 8.0 1.0 ❑ 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: 1 ST FLOOR: �) ❑ ErosionControl permit <br /> 0.0 2� // ,`, TOTAL SQUARE FOOTAGE: ,, (slopes,disturbance, <br /> 4Y2 ... <br /> filling/access) <br /> 2ND FLOOR: 0.0 3RD FLOOR: 0.0 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: -• -• -• -+ -► --• $ 4,400.00 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? ✓❑Yes ❑No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ✓❑Yes Flo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? ❑Yes il_i�t,,o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes a <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 ✓�Jo ODon't know <br /> 7. Is this to correct a violation? ❑Yes ao <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) <br /> (Continue on Back) -i -i <br />