Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Barbara Hurd <br /> Ii Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM � <br /> 3469 State Hwy 73 Deerfield,Wi 53531 Variance(# ) <br /> HOME PHONE i CELL PHONE E-MAIL ADDRESS ��� <br /> (608)513-5637 barbara.hurd @subzero.com =d Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions Cc M <br /> AGENT NAME CONTRACTOR NAME <br /> Same Cleary Building Corp Visite Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 190 Paoli St <br /> (City,State,Zip) (City,State,Zip) <br /> ,Setbacks /o/ ' 2"�-.ili7 <br /> Verona,WI <br /> PHONE PHONE I* Site Plan approval from ,, <br /> (608) 379-0132 applicable township. qtr <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> tleeser @clearybuilding.com 'Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P P y <br /> ❑PARCEL 024/0712-284-9420-3 A-1 EX 5.11 frontage drawn to scale. Si <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Deerfield 28 %%4. SW 1/4+/4: SE ff Dr - ay permits <br /> ADDRESS: county,town) <br /> 3469 State Hwy 73 <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary ! - s <br /> 2,545 1 (public,t�t7 <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: � .- /�� <br /> 24x48 Accessory building built in place of existing building Zoning District <br /> . 0 This project is a new building or structure. Et-Permitted Use? U <br /> ❑This project is an addition/alteration to an existing building or structure. 0 G <br /> SANITARY SERVICE: PERMIT NUMBER: (k Rural <br /> EWER r)EPTIC (newt <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) �� <br /> 15.3 1.0 Wetland/Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: <br /> Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) QC <br /> BASEMENT 1ST FLOOR: cR ErosionControl permit Ec_ <br /> 1 ,152.0 ,, TOTAL SQUARE FOOTAGE: j (slopes,disturbance, ^ Z Z/ <br /> 2ND FLOOR: 3RD FLOOR: —� <br /> 1 ,1 _ .1 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ - ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) $ 35,000.00 . _') <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes 4No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Efres 1-_-_No ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? E Yes ONo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Eyes Lilo <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 allo ['Don't know <br /> 7. Is this to correct a violation? QYes 12 No <br /> �� APPLI TION MUST BE SIGNED <br /> (Contin - on Back)545-112(4/08) 3 r <br />