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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Aaron & Sarah Johnson <br /> ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 505 Echo Valley Rd,Brooklyn,WI,53521 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)835-6770 (608)438-2480 aaronjohnson @charter.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Agent info.same as owner Maple Leaf Landscaping(c/o Roger Karls) [' Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2416 Spring Rose Rd <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Verona,WI 53593 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 845-2203 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> rkarls @mapleleaflandscape.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: <br /> ❑PARCEL 042/0509-272-4088-2 R-1A 1.64 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Oregon .1/4: '/4'/4: ❑ Driveway permits <br /> ADDRESS: (state, county,town) <br /> 505 Echo Valley Rd <br /> ❑Sanitary permits <br /> CSM: LOT 8 SUBDIVISION BLOCK/LOT <br /> V (public, private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New exterior deck at 1st level w/exterior stairs down to lower level LI Zoning District <br /> . <br /> This project is a new building or structure. ❑ Permitted Use? <br /> 4 This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> FIEWER r)EPTIC (new/existing) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> ❑ Wetland/Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT. 1 ST FLOOR: I—, ErosionControl permit <br /> 260.0 ,, TOTAL SQUARE FOOTAGE: IF (slopes,disturbance, <br /> filling/access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 260.0 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ ��� and available options. <br /> (Please round to nearest dollar) $ J <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? EYes III No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes EINo EDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑✓Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ❑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) [Yes ONo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes igNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4/08) <br />