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,c. ,,( <br /> ZONING PERMIT APPLICATION ww.county fdane.com SUPPLEMENT to Web-App # <br /> w <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME Jeff & Carolyn Ball r' <br /> ❑Zoning Stat <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Rest M <br /> 84 Fair Oak Road Variance( 1........) <br /> HOME PHONE 1 CELL PHONE E-MAIL ADDRESS <br /> (608)213-9068 jeffba1161@gmail.com [g S to Plan drawn to s <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes di sions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeff Ball Trave\is Leeser/Cleary Building Corp. Q Site Plan'nclu ' g location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/se t <br /> 84 Fair Oak Road 190 Pioli St <br /> (City,State,Zip) (City,State,Zip) Eligetb <br /> Deerfield,Wi, 53531 Verona, WI, 53593 <br /> PHONE PHONE to Plan -•', 9/4;1 rom idor(608) 213-9068 (608) 379-0132 applicab. • . •. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeffba1161@gmail.com tleeser @clearybuilding.com loor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) jevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ElPARCEL 4.85 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Deerfield 24 1/,; SW <br /> 1/41/4: se II;I'Drivew y p Its <br /> ADDRESS: (state, nty,town) <br /> CSM: 14 089 LOT 4 SUBDIVISION BLOCK/LOT �(publi e s <br /> (public i <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Pole Barn r-" S ra'" �? r ill■ ❑ Zoning District <br /> . ISIThis project is a ew building or structure. LI Permitted Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUM E ❑ Rural Address <br /> II��,(L (new/existing) <br /> EWER IC ���V <br /> HEIGHT I FEET: ep 7ckPT <br /> '� NUMBER OF STORIES: (Not including basement <br /> �/X 1.0 LI Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages a above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ <br /> ErosionControl permit <br /> 6 720.0 , TOTAL SQUARE FOOTAGE: , (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: ' filling/access) <br /> 6,720.0 _ LI Revie Lo' , ,urvey <br /> ESTIMATED CONSTRUCTION COST: and aval ■ O• r S. <br /> (Please round to nearest dollar) -♦ ♦ ♦ ♦ $ 210,000.00 v <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Eyes MiNo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Yes No ['Don't know <br /> ❑ <br /> 3. Have you talked with the township about your project and are they in agreement? Yes ENo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? UYes 12 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) ';`∎ es QNo Don't know <br /> 7. Is this to correct a violation? [Yes Elio <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -♦ <br /> 545-112(4/08) <br />