Laserfiche WebLink
May 02 16 09:24a Recreational Concepts Inc 608-835-2784 p.2 <br /> • ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION / <br /> O'NNERNAME CU••TOMER TO PROVIDE <br /> John Georgeson b. <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> Zoning Status;CUP; <br /> 6294 Quail Court Oregon WI 53575 geed Restriction;CSM <br /> HOME PHONE CELL PHONE ,� /a7arIce(#E-PrtAIL ADD RESS <br /> (608)516-3065 (608)516-3065te Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION kind includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Recreational Concepts Inc Recreational Concepts Inc EiS' a Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well tic <br /> 121 N Main St 121 N Main St <br /> (City,State,Zip) (City,Stale,Zip) Setbacks <br /> Oregon WI 53575 Oregon WI 53575 <br /> PHONE PHONE D t Plan approval from <br /> (608) 835-2780 (608) 835-2780 O plicable township. <br /> E-MAI L ADDRESS E-MAIL ADD RES S <br /> recconinc @ymail.com recconinc @ymail.com F oor plans to s <br /> PROPERTY/LOCATION INFORMATION (http:/laccessdane.co.dane.wi.usi) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: D Ievati0 prop y <br /> ❑PARCEL 042/0509-062-4070-6 R-1 fronta draw o scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Oregon y4: %IA: El Drivew permits <br /> ADDRESS: (stat ,count own) <br /> 6294 Quail Court Oregon WI 53575 �f <br /> CSM: LOT St BDIVISION SLOCK,LOT ❑iani permits <br /> 90 Hill pu c,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: 1 <br /> Above ground pool 18 x 45 oval with deck at one end I g /(c 4 '/ • Zoning District <br /> 0 This project is a new building or structure. , r Q r <br /> )Qx ❑ Permitt i Ue? <br /> This project is an addition/alteration to an existing building or structure. ske1i 4, <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Ad r <br /> FEWER PTIC (new/exi ting <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> ❑ Wetland/F dplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shorela (attat;r ent) <br /> (Outside dimensions including unfinished are atta shed garages and above grade decks or porches) <br /> BASEMENT 1ST R, G�� - ❑ ErosionCon, •I permit <br /> 4, TOTAL SQUARE FOOTAGE +, (slopes,d'. (bane, <br /> 2ND FLOOR: 3RD FLOOR: �� filling/ac,ess) II <br /> ❑ Review Location Survey CONSTRUCTION COST: y <br /> (Please round to nearest dollar) ♦ ♦ '� ♦ --o, "► ^' : and available options. <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? []Yes to DDon't know <br /> 2. Is there a wetland orfloodplain on or near the property? Dyes o Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? Ores 11\fo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dyes [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) Dyes QNo DIErart know <br /> 7. Is this to correct a violation? Elves [ft16 <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4'08) 3 (Continue on Back) —► —+..., ,e),,, <br />