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. * <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> s. <br /> • PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Joseph & Natasha Frost oning Status;CUP; <br /> /� OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> ,�// 7730 County Rd K,Cross Plains,WI 53528 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)798-4451 (608)445-5002 jafrost@gmail.com <br /> 19 Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Bryan Butteris Butteris Construction&Woodworking LLC <br /> 5 Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of wellseptic <br /> 3698 Sinbad Rd 3698 Sinbad Rd <br /> (C. te,Zip) (City,State,zip) Setbacks <br /> wile,WI 53533 <br /> C,6- J , \ <br /> S d— Dodgeville,) 53533 <br /> PHONE PHONE o Site Plan approval from <br /> applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> bryan @ butteris.com bryan @ butteris.com 0 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usl) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: IN Elevation of property <br /> ❑PARCEL 004/0807-213-8001-0 RH-3 15.00 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Berry 21 '/a: SW IAIA: SW Fil P riveway perm) <br /> ADDRESS: (state,county,town) <br /> Paddock Rd EL goons- 013' <br /> CSM: LOT •SUBDIVISION BLOCK/LOT `an ' ���s <br /> 10,350 1 (p ,Vii,,private <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Single Family Dwelling oning District <br /> ri This project is a new building or structure. .11��n, r� ed Use? <br /> ['This project is an addition/alteration to an existing building or structure. '' <br /> SANITARY SERVICE: PERMIT NUMBER: Li •= 'ddress <br /> EWEREPTIC 520,302 sting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 25.0 2.0 Getland/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 /> [44/6-�� <br /> sio <br /> nControl permit BASEM�T 1ST FLOOR: ,792.0 j7 Q j 1 1)tL , <br /> TOTAL SQUARE FOOTAGE: j (slopes,disturbance, <br /> 2ND FLOOR si 1 3RD FLOOR: 0.0 <br /> filli • access) <br /> 7s I I -eview • - l',..• SUrV <br /> ESTIMATED CONSTRUCTION COST: -► — -, -. - a avail: .'_options <br /> (Please round to nearest dollar) $ 495,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes Elo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes OW ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes IDJo <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 �Jo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ONO <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -i ■ -1 <br /> 545-112(4/08) <br />