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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 /> Trever and Christen Otto 0 Zoning Status; cuP; 12-1k <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Peed Restriction;CSM <br /> 408 Azurene Ln,Verona,WI 53593 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (920)740-6495 (920)740-6495 trever.otto @gmail.com Eg Site Plan drawn to scale 1 <br /> AGENT INFORMATION I CONTRACTOR INFORMATION a • '• •- .imensions I <br /> AGENT NAME CONTRACTOR NAME <br /> Baehr Operations LLC 0 Site Plan including location ' <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 106 W Main Street I,, IV C-0 <br /> C <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks [[[ <br /> Sun Prairie,WI 53590 <br /> PHONE PHONE Site Plan approval from <br /> (608) 213-66$6 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> david@baehrinc.com Eg Floor plans to scale cz," <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) � �.p. C� <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREA : Q Elevation of property . G,/ <br /> ❑PARCEL 0507-111-8010-4 Residential t6 3 �61 q 7 frontage drawn to scale. <br /> NUMBER j�, e ,}�' <br /> TOWNSHIP: SECTION: 'v ,ti7 <br /> • <br /> Primrose 11 lh: NE 1/41/4. NE ID D 'Stat eway permcountyito ts 1`r,., <br /> ADDRESS: , <br /> CSM: 13 l LOTH IA 1 SUBDIVISION BLOCK/LOT b°j Sanitary permits <br /> 9,229 1 N/A (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIW <br /> PROJECT DESCRIPTION: f <br /> Construction of a single family home. �1 Zoning District <br /> . Eg This project is a new building or structure. / r2 , <br /> Permitt� e,� <br /> ['This project is an addition/alteration to an existing building or structure. j /� <br /> SANITARY SERVICE: PERMIT NUMBER: )�.1 R Address f 371 <br /> `( t <br /> EWER PEPTIC 13201600056 V 0-xisting) f a�Y0y <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) S x <br /> 30.0 2.0 A�_ —'Floodplain/ O i`( (/ <br /> elan• attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) �,�° <br /> BASEMENT: 1ST FLOOR: yiErosionControl permit <br /> 1 ,244.0 1 ,272.0,272,0 4, TOTAL SQUARE FOOTAGE: 4, / _(slopes,disturbance, r <br /> filling/access) f� • t <br /> 2ND FLOOR: 3RD FLOOR: , <br /> 1 ,244.0 0.0 2,516.0 §-4.Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available O tions. A <br /> (Please round to nearest dollar) -+ ♦ ♦ -+ -+ ♦ $ 240,000.00 p <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 or near the property? [Yes no ['Don't know <br /> ❑ <br /> 3. Have you talked with the township about your project and are they in agreement? Yes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Elves ✓J' o <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) Elves ✓❑'Jo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes Ilo <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) <br /> (Continue on Back) <br />