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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 /> Festge Le, Bertha A <br /> (Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 7166 County Highway K,Middleton,WI 53562 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS p(608)228-7494 Site Plan drawn to scale ' J AGENT INFORMATION (CONTRACTOR INFORMATION and includes dimensions A <br /> AGENT NAME CONTRACTOR NAME <br /> Todd Seiler same 1 -Site Plan including location AA, <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2932 Green Avenue <br /> (City,State,Zip) (City,State,Zip) fit Setbacks <br /> Blue Mounds,WI 53517 <br /> PHONE PHONE Fl Site Plan approval from A , <br /> (608) 228-7494 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> toddpseiler @gmail.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 0707-034-9570-0 4 -) 46.00 frontage drawn to scale. ../., <br /> NUMBER ! / <br /> TOWNSHIP: SECTION: <br /> ay permits <br /> Town of Cross Plains 3 1�4. SE WA: SE Er-D,,,,—`� ay per town) <br /> ADDRESS: <br /> 8399 US Highway 14 <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary is <br /> metes and bounds (publlcj <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: /- <br /> temporary structure(328-other Non-Residential) Zoning District 4 ---/. .,,c- <br /> . / <br /> ❑This project is a new building or structure. Permitted Use? -f-,c_•---,9 <br /> This project is an addition/alteration to an existing building or structure. S4 k <br /> SANITARY SERVICE: PERMIT NUMBER: Rural A•. -,•s <br /> EWER FIEPTIC (ne •) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 24.0 .. , _ . <br /> AREA TO NEAREST SQUARE FOOT: �+7.• arattachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: <br /> aktErosionControl permit ® <br /> �� �1 j TOTAL SQUARE FOOTAGE: , (slopes,disturbance, r <br /> )� (� filling/access) A- /' 7, <br /> 2ND FLOOR: 3RD FLOOR: .2 !� / � <br /> 4 Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options.�/�t <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ '♦ -♦ $ 5,680.00 G/{� <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? JYes Jo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Wes ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? 01'es no <br /> o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? 2Yes JNo <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) Efres Jo ['Don't know <br /> 7. Is this to correct a violation? ['Yes EINo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► <br /> 545-112(4/08) <br />