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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 /> C <br /> Landmark Services Cooperative <br /> MI Zoning Status; CUP; /7 '7 <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM !�/ <br /> 1401 Landmark Drive,Cottage Grove,WI 563527 <br /> Variance(# ) /I /' <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)819-3117 (608)469-7633 mike.elder@landmark.coop IN Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME •Dutton Welding&Millwright Services ISit- . - • uding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS • well/septic <br /> W8895 Westbound Lane <br /> (City,State,Zip) (City,State,Zip) 't/ Setbacks 2 5/4/"2-- (/o <br /> Darien,WI 53114 <br /> PHONE PHONE ,IVA Site Plan approval from A f/A_ <br /> (262) 882-1500 applicable township. iv <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jon @duttonwelding.com Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P p y <br /> ❑PARCEL 071116399206 C-2 CDPREZ-0000-01147 4.40 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Cottage Grove 16 1/4: SE %: SW Drivewa •ermits <br /> /4 4. (state couri town) <br /> ( ) <br /> 3977 County Highway N <br /> Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> (publi • a. <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Removing and replacing old grain bins, equipment, and receiving building. Zoning District .' C.-"� <br /> - PC f 94,01/'/9 <br /> . ❑This project is a new building or structure. Permitted Use?_ <br /> This project is an addition/alteration to an existing building or structure. _ <br /> SANITARY SERVICE: PERMIT NUMBER: : i Rural ' •••• - <br /> r)EWER r)EPTIC (new xisti • <br /> HEIGHT IN FEET: / /� ' r NUMBER OF STORIES: (Not including basement) . i <br /> [/ l/D ply 1.0 - •• loodplain/ <br /> • Shor- a•_ attachment) A '� <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ErosionControl permit <br /> —— / / Z- ,,, TOTAL SQUARE FOOTAGE: 4 (slopes,distuirbance, a 9 / <br /> filling/access) - tit-ill <br /> 2ND FLOOR: 3RD FLOOR: <br /> 2,112.0 <br /> ,r' eview Location Su -- <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> Z(Please round to nearest dollar) -• -+ -• -• -• $ 2,700,000.00 . <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes \lo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? :Yes ✓❑No ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? Dies ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dies ao <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) Dies Nlo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓❑No <br /> C• o7 <br /> APPLICATION MUST BE SIGNED <br /> 545-112(aros) /0 g° (Continue on Back) -► -► -► <br /> / <br />