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......„ 14 4 g ..-76 <br /> ZONING PERMIT APPLICATION ww.countyofdane.com SUPPLEMENT to Web-App # <br /> w <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME ANDY LINGER <br /> 12 Zoning Status; CidP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Res • ioft;CSM <br /> PO BOX 290,ARLINGTON WI 53911 Variance(# <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)225-3331 SLINGERA @SVA.COM 0 Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> CLASSIC CUSTOM HOMES 13 Site PI g location <br /> AGENT ADDRESS CONTRACTOR ADDRESS Of weI e i <br /> 401 N. CENTURY AVENUE <br /> (City,State,Zip) (City,State,Zip) 0 Setbacks <br /> WAUNAKEE,WI 53597 <br /> PHONE PHONE Site PI ap al f m <br /> (608) 850-4450 appli n hip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> NICOLE @CCHOFWAUNAKEE.COM 0 Floor plaiscale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: © Elevati n O roperty <br /> El PARCEL 064/0909-363-9770-0 1.50 frontage awn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> • VIENNA 36 +/,; SE +/4+/. SW 0 Driveway permits 4�S /o <br /> (state,county,town dat <br /> ADDRESS: ii 10q EASY STREET <br /> CSM: LOT SUBDIVISION BLOCK/LOT ['Sanitary permits/lit�,. - <br /> LANTERN HOLLOW <br /> aito c,private)V"' I <br /> PROPOSED PROJECT INFORMATION STAFF IEW <br /> PROJECT DESCRIPTION: <br /> SINGLE FAMILY NEW RESIDENTIAL HOME ❑ Zoning trict <br /> • 0 This project is a new building or structure. ❑ Pennitte047 <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBE ❑ Rural Address <br /> EWER IC / /lexisting) '"fir <br /> HE HT IN FEET: S 25.0 NUMBER OF STORIES: (N1 n uding basement) ❑�`W//e ,. raiN S��-�-�+ .st <br /> GJ • a�: • (attachment)1j <br /> AREA TO NEAREST SQUARE FOOT: 5 <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ Erosion • ' P it <br /> BAS @M�tVT: 2,098.0 1ST FLOOR: tcl 4 TOTAL SQUARE FOOTAGE: 4 (slopes, • z , .,,ije .,.,,,,_ <br /> 2ND FLOOR: <br /> 2,098.0 <br /> 3RD FLOOR: " �,,� t Iliing/a ') ,/•0.0 0.0 •O 7 3\1 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available it <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ ♦ -+ $ 336,772.00 oP <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes Ilo DDon't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes Do 0 Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? :Yes Olo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ✓)io <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 ONo 3Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓I io <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) ■ -i -► <br />