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ZONING P RMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Ti berLane Builders, LLC <br /> OW 11:Zoning Status; CUP;NER ADDRESS ( umber,Street.City,State,Zip) Deed Restriction; CSM <br /> 3441 imber Lane, Cross Plains, WI 53528 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL•DDRESS <br /> 608-438-4511 tim•-rlanebuilders @tds.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTR•CTOR NAME <br /> Michael A Vil rup Ti berLane Builders, LLC ❑Site Plan including location <br /> AGENT ADDRESS CONTR•CTOR ADDRESS of well/septic <br /> 3441 Timber L.ne, Sa e <br /> (City,State,Zip) (City,St.:te,Zip) ❑Setbacks <br /> Cross Plains, 1 53528 <br /> PHONE PHONE ❑Site Plan approval from <br /> 608-438-4.11 applicable township. <br /> E-MAILADDRESS E-MAILADDRESS <br /> TimberLaneb ilders @tds.net 1 ❑ Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑ Elevation of property <br /> PARENT PARCEL NUMBER: CURRE T ZONING ACREAGE: <br /> © PARCEL 0910-294-2425-0 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP SECTIO <br /> Wind.or 1/4: ,/4,/4: ❑ Driveway permits <br /> (state, county, town) <br /> ADDRESS:4312 G osbeak Glen <br /> ❑Sanitary permits <br /> CSM: LOT 105 SUBDIV SION I BLOCK/LOT (public, private) <br /> Wolf Hollow <br /> PROPOSED PROJECT INFORMATION �± REVIEW <br /> PROJECT DESCRIPT ON: Garage and bath addition <br /> O..Zonina Digit ' <br /> . EThis project s a new building or structure. _ e` <br /> This project s an addition/alteration to an existing building or structure. ! ! a$ <br /> SANITARY SERVICE. PERMIT NUMBER L 1 ii .' <br /> DE R SEPTIC ( ew/existtng.) , <br /> • <br /> HEIGHT IN FEET 1 9 NUMBER OF STORIES (Not including basement) <br /> `Vtfetlarid/Fbodptain/ <br /> AREA TO NEAREST SQUARE FOOT: grindattaChi1 @71t) <br /> (Outside dimensio s including unfinished area, attached garages and above grade decks or porches) it <br /> BASEMENT: 1ST FLOOR: <br /> Q �'7 C) 4, TOTAL SQUARE FOOTAGE: 4 � r �„ n.. ; <br /> ffiing/a t s) <br /> 2ND FLOOR /D 0 3RD FLOOR 2_10 <br /> ESTIMATED CO STRUCTION COST ': Q •EJLI 4� v on 5tirVeY <br /> (Please round to earest dollar) "0 "0 ♦ ♦ H' '- $"4'5'e�' ZS;ao0,cY�„, and avails (B��#��s <br /> 1. The property i. within 300 feet of a stream or 10 IO feet from a pond or lake? ❑Yes ❑No Ell Don't know <br /> 2. Is there a wetl:nd or floodplain on or near the property? ❑Yes ❑No El Don't know <br /> 3. Have you talk:•d with the township about your pr sect and are they in agreement'? Des No <br /> 4. Has there be:n a zoning permit issued for this pr perty in the past 5 years? x❑Yes ❑No <br /> 5. Is this project :ssociated with a rezone/CUP/vari nce(petition/appeal# ) (leave blank if none) <br /> 6. Is a location s rvey required? (see reverse) Elves ❑No ['Don't know <br /> 7. Is this to corr- t a violation? Des rho <br /> ço <br /> APPLICATION MUST BE SIGNED <br /> 545-712(4/08) V <br /> �V 0 (Continue on Back) -∎ -► -∎ <br /> 0 <br />