Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Daniel J Truttmann <br /> :Zoning Status;CUP; <br /> OWNER ADDRESS (Number.Street.City,State,Zip) Deed Restriction; CSM <br /> N9682 County Rd J,Blanchardville,WI 53516 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)513-8363 truttmanrdaay@gmail.com <br /> Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Dan Truttmann :Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADD;SS of welUseptic <br /> 1146$1. C le, 3 <br /> (cry,State,Zip) (City iii LOT Setbacks <br /> PHONE PHONE ❑Site Plan approval from <br /> Go9 5i3 4%3 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> pi I 40,;� C, .Lo►+. :Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us//) 0 Elevation of property <br /> PARENT PARCEL NUMBER: CURRE_ ZONING: ACREAGE: <br /> DPARCEL <br /> NUMBER 050636495006 40.10 frontage drawn to scale. <br /> TOWNSHIP: SECTI <br /> Perry 36 +/: SE 1/+/c SE ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 9682 County Hwy J Blanchardville WI, 53516 <br /> CSM: LOT SUBDIVISION BLOCK/LOT O Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION may; <br /> PROJECT DESCRIPTION: = <br /> Calf barn <br /> 0 This project is a new building or structure. c�` i <br /> �? <br /> OThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: il <br /> f—TEINER )EPTIC nIesl(► ' <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) ' ' - <br /> 20.0 1-0 °� F atta nt) <br /> ' <br /> AREA TO NEAREST SQUARE FOOT <br /> e <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ,-::,,,t, '".T'''.-7i):::: --,- ' <br /> BASEMENT: 1ST FLOOR: � � '� �" <br /> j TOTAL SQUARE FOOTAGE: j t - - <br /> 2ND FLOOR: 3RD FLOOR: -P I <br /> 9,548.0 ` s <br /> ESTIMATED CONSTRUCTION COST: //� b. Survey <br /> ( ) -+ -* ♦ -* ♦ ♦ $ 200,000.00 �' . . .k 8 f• <br /> Please round to nearest dollar ;. � , <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? :Yes ONo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes t/ o ODon't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes ✓ Vo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes [No <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) DYes [MNo DDon't know / <br /> 7. Is this to correct a violation? :Yes ✓ONNo <br /> APPUCATION MUST BE SIGNED <br /> ����14 � (Continue on Back) -s. -► -► <br />