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tk24 tr 03 <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> The Heffron Company <br /> ❑Zoning St us;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed triction;CSM <br /> 2000 Prairie Street, Suite 100 Prairie du Sac,WI 53578 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)643-8525 (608)963-6021 dan@heffronhomes.com ❑Site Plan dr wn scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes ' ensions <br /> AGENT NAME CONTRACTOR NAME <br /> Daniel Heffron Jr Heffron Homes ❑Site Plan inclu ing cation <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2000 Prairie Street, Suite 220 2000 Prairie Street,Suite 220 <br /> (City,State,Zip) (City,State,Zip) ❑Settk, <br /> Prairie du Sac,WI 53578 Prairie du Sac,WI 53578 <br /> PHONE (608) 643-8525 PHONE (608) 643-8525 El appl PI n vhip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> heff@heffronhomes.com dave @heffronhomes.com ❑Floor plen;�o scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usl) � <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE E]Elevation <br /> property <br /> ❑PARCEL 050/0907-183-6154-0 R-1 0.54 fronta yawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: G,Ciee I 4 <br /> • Roxbury 18 14: W 1/41/4: SE ❑Drivew y p Its <br /> (state, ty,town) <br /> ADDRESS: 7224 Flyhawk Lane <br /> (public,private)❑Sanitary permits <br /> 24 SUBDIVISION BLOCK/LOT Black Hawl Fields !�—���r vi CSM: LOT <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> two story residential home wuth unfinished basement ❑ Zoning i ct <br /> . ES This project is a iew building or structure. ❑ Permitted Use? <br /> ❑This project is a addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: <br /> ❑ Rural Address <br /> fa.EWER r)EPTIC v +existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) vv <br /> 29.0 2.0 ❑ Wetland/flop• ain/ <br /> AREA TO NEAREST SQUARE FOOT: Shorela ;t-.1 ment) <br /> (Outside dimensions Including unfinished area,attached garages and above grade decks or porches) ❑' Erosl• •• dl permit <br /> BASEMENT: 1,238 0 SST FLOOR: 2,425.0 ,l TOTAL SQUARE FOOTAGE: j, (SI••41 •I ance, <br /> fllling/a ss) <br /> 2ND FLOOR: 1,2 3RD FLOOR:0.0 <br /> 8 0 4,947.0 <br /> v ❑ Review Location Survey <br /> ESTIMATED CON:3 TRUCTION COST: -+ ♦ ♦ ♦ 300 000.00 and available options. <br /> (Please round to merest 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 r near the property? ❑Yes No rg Don't know <br /> ❑ <br /> 3. Have you talked with the township about your project and are they in agreement? Yes alo <br /> 4. Has there bee=lt a zoning permit is:ued for this propert} in the past 5 years? ❑Yes No <br /> 5. Is this projectk,ssociated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) 17,1 es Olo Don't know <br /> 7. Is this to correct a violation? :Yes ✓QNo <br /> ,-h APPLICATION MUST BE SIGNED <br /> 54 s 112(4roe) (Continue on Back) -+ —► <br />