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4-c 6 7 0 . 9 <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Premier Builders Inc. <br /> oning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 102 N Holiday Drive,Waunakee WI 53597 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)849-6770 jeanette.acker @tds.net <br /> © Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Premier Builders,Inc. Premier Builders,Inc. Q Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 102 N Holiday Drive 102 N Holiday Drive <br /> (City,State,Zip) (City,State,Zip) a Setbacks <br /> Waunakee WI 53597 Waunakee WI 53597 <br /> PHONE PHONE ❑Site PI pproval from <br /> (608) 849-6770 608-849-6770 a cabl township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeanette.acker @tds.net jeanette.acker @tds.net 0 Floor plan to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usf) <br /> PARENT PARCEL NUMBER: C REN ZONING: ACREAGE• 0 Elevation of property <br /> PARCEL 0810-022-0045-0 �� l frontag drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: 6 ' e a ermits <br /> Burke 2 1/4: ne 1/4%; nw <br /> ADDRESS: stat ounty,town) <br /> CHI tY 0 Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 5 Gehrke's Knoll (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home Construction District <br /> NI This project is a new building or structure. miffed Use? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: 0 I Address <br /> EWER [EPTIC ';xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> ...50, 2 lia- and/Floodplain/ <br /> (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) > n <br /> BASEMENT: 1ST FLOOR: ErosionControl permit <br /> 2,088.0 4263 4. TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, , <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 1128 7479 ,�� <br /> l�'Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ■ - , -+ -► 520,000.00 and available options. <br /> (Please round to nearest dollar) <br /> S <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? Des ❑No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? res ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? :Yes EINo <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 ❑No FdDon't know <br /> 7. Is this to correct a violation? :Yes ✓❑No <br /> APPLICATION MUST BE SIGNED <br /> 545-112 t4r08l (Continue on Back) -► -► -+ <br />