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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CU-TOMER TO PROVIDE <br /> OWNER NAME <br /> Andy and Claire Pharo <br /> II Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) v D ed Restriction; CSM <br /> 4421 Fox Bluff Lane,Wauankee,WI 53597 riance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)235-7190 Apharo©pharomarine.com ite Plan drawn to scale <br /> AGENT INFORMATION 1 CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Michael A Vilstrup TimberLane Builders, LLC ❑Site Plan' luding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well eptic <br /> 3441 Timber Lane Cross Plains,WI 53528 3441 Timber Lane Cross Plains,WI 53528 <br /> (City,State,Zip) (City,State,Zip) Setbacks / <br /> Cross Plains,WI 53528 Cross Plains,WI 53528 <br /> PHONE PHONE El S' Plan <br /> proval from <br /> = <br /> E-MAIL ADDRESS (608) 438-4511 E-MAIL ADDRESS <br /> (608) 438-4511 ;•plica}afetownship. <br /> mikevilstrup©gmail.com mikevilstrup@gmail.com W, Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: al Elevation of property <br /> ❑PARCEL 064/0909-363-9730-0 R-1 DCPREZ-0000-09993 1.31 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SE P iVienna /e:�`W air-S\L ❑Driveway permits <br /> /J <br /> ADDRESS: (state,county,town . <br /> 2/ ioa 49--8-Lantern Hollow Lane, Lot 3, Town of Vienna, Waunakee, WI <br /> CSM: LOT 3 SUBDIVISION BLOCK/LOT ❑Sanitary permits ,�, 1 <br /> Lantern Hollow (public,private) \v� 7— <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION:New Single Family Home Lv / r(,i l Rc•"c" i l i+LCkr.-1-J. `L4 I! Z ing District <br /> . 13 This project is a new building or structure. ermitted Use? <br /> ['This project is an addition/alteration to an existing buildin or struc re. <br /> SANITARY SERVICE: PERMIT NUMBER: ' •dress <br /> / <br /> IT/ EWER PEPTIC + (\ _1 k , C ( w/ fisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) / <br /> 23.0 1.0 ► ; ttand/FIoodptain/ <br /> AREA TO NEAREST SQUARE FOOT: oreland (atta <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) ( ErosionControl permits <br /> BASEMENT 1ST FLOOR: �' <br /> 2,434.0 4, TOTAL SQUARE FOOTAGE: j slopes,disturbance, 4 <br /> Vo filling/access) / ,,.�2ND FLOOR: 3RD FLOOR: � i <br /> ' �=j'��' Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. c I <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ ♦ ♦ $ 360,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? E✓Yes ao ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑✓Yes Ro ❑Don't know <br /> ❑Y 3. Have you talked with the township about your project and are they in agreement? es o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑✓Yes ENo <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 E❑No ['Don't know <br /> 7. Is this to correct a violation? rr EYes ✓ENo <br /> , i 7 APPLICATION MUST BE SIGNED <br /> (Continue on Back) –► ■ –► <br /> 545-112(4/08) <br />