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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME TOWN OF VERONA <br /> MI Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street.City,State,Zip) Deed Restriction; CSM <br /> 335 N.NINE MOUND RD.;VERONA.WI 53593 Variance(# Z"" ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)845-7187 AARNOLD @TOWN.VERONA.WI.US MI Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> TIM HOMAN J.P.CULLEN&SONS,INC. <br /> Q Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 319 JENNA DRIVE 330 EAST DELAVAN DRIVE <br /> (City,State,Zip) (City.State,Zip) Q Setbacks <br /> VERONA.WI 53593 JANESVILLE,WI 53593 <br /> PHONE PHONE 0 Site Plan approval from <br /> (608) 417-9331 (608) 754-6601 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> TIM @HOMANCM.COM NICK.HERR @JPCULLEN.COM MI Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) 0 Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 0608-082-9220-0 A2 18.00 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: Driveway permits <br /> VERONA 8 1/: SW 1�1, : NW <br /> ADDRESS (state, county,town) <br /> 7685 CTH PD <br /> IS <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary permits <br /> NA NA (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> PUBLIC WORKS BUILDING ❑ Zoning District <br /> IS This project is a new building or structure. ❑ Permitted Use? <br /> 111This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER 1EPTIC 13-2016-00097 (new/existing) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> 28.0 1.0 ❑ Wetland/Floodplain/ <br /> Shoreland (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: r--, Erosion Control permit <br /> 7,531 .0 ,, TOTAL SQUARE FOOTAGE: ,,, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 7,531 .0 <br /> LI Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available o tions. <br /> (Please round to nearest dollar) ♦ - - ♦ ♦ ♦ $ 932,525.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Yes IS No nDon't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes Z✓No Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? lifres No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? nYes ONo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# 2.314 ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse)...,' aes 151No f Don't know <br /> 7. Is this to correct a violation? rfres ONo <br /> MAY 1 1 2016 APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) -► -+ -4 <br /> a w:,<N <br />