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SUPPLEMENT to Web-App# <br /> R ONING PERMIT APPLICATION www.countyofdane.com <br /> Z CUSTOMER TO PROVIDE <br /> PROPERTY OWNER INFORMATION �Zoning Status;CUP; <br /> OWNER NAME Kieran & Isabel Montgomery Deed Restriction;CSM <br /> State,Zip) Variance Restriction; <br /> 1172 Maple r (Number,Street,tou ht n WI 53589 <br /> 1172 Maple Grove Road,Stoughton, E-MAIL <br /> ❑Site Plan drawn to scale <br /> CELL PHONE kieran @ctwflooring.com <br /> HOME PHONE (608)225.4421 and includes dimensions <br /> CONTRACTOR INFORMATION <br /> AGENT INFORMATION CONTRACTOR NAME El Site Plan including location <br /> AG):,NT Aq� ME es_ Joe Craig/Craig Construction of well/septic <br /> (T a CONTRACTOR ADDRESS <br /> AGENT ADDRESS ,cf- N3263 Cty Rd CD El Setbacks <br /> S. �'�'� (City,State,Zip) <br /> (citatg, 1 Cln W 3�Z Fall River,WI 53592 ❑Site Plan approval from <br /> CO�- PHONE applicable township. <br /> PHO G (608) 220-6948 <br /> ��O— �- `( �Z Q Floor plans to scale <br /> E-MAIL ADDREgSS mail.com <br /> E-MAIL craigconstructioninc.@gmail.com <br /> Elevation of property <br /> http://accessdane.co.dane.wi.usn frontage drawn to scale. <br /> ACREAGE' <br /> PROPRENT OCARCEL INFORMATION CURRENT ZONING: ACREAGE' <br /> PARENT PARCEL NUMBER: R-3 <br /> ❑PARCEL 060123446805 ❑Driveway permits <br /> NUMBER SECTION: <br /> TOWNSHIP: 23 1�q; S� /q1/q'—�"— (state,county,town) <br /> • Town of Dunn —23 <br /> ADDRESS: 2187 Colladay Point Dr, Stoughton, WI 53589 ❑Sanitary permits <br /> BLOCK/LOT (public,private) <br /> LOT SUBDIVISION <br /> Colladay's Point 60 <br /> STAFF REVIEW <br /> PROPOSED PROJECT INFORMATION ❑ Zoning District <br /> PROJECT DESCRIPTION: <br /> New Single Family Residence ❑ permitted Use? <br /> . OThis project is a new building or structure.NUMBER OF STORIES. (Not including project is an addition/alteration to an existing building or structure. <br /> basement) <br /> ❑ Rural Address <br /> (new/existing) <br /> SANITARY SERVICE: <br /> .EWER .•EPTIC <br /> HEIGHT IN FEET 20 ❑ WetlandlFloodplain$ 2 0 Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: grade decks or porches) ❑ ErosionControl permit <br /> (Outside dimensions including unfinished area,attached garages and above g <br /> BASEMENT (slopes,disturbance, <br /> 1ST FLOOR: <br /> 1 ,100.0 1 TOTAL SQUARE FOOTAGE: j filling/access) <br /> 1,130.0 <br /> 3RD FLOOR: <br /> 1,015.0 3,245.0 ❑ Review Location Survey <br /> 2ND FLOOR: <br /> and available options. <br /> ESTIMATED CONSTRUCTION COST: •♦ •„* -► -► -r -► $ 450,000.00 <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? o aon't know <br /> .......... ❑Yes Etiq <br /> o �on't know <br /> ✓ <br /> es <br /> wetland or floodplain on or near the property? agreement? .... Yes <br /> 3. H there a our project and are they in ag <br /> 3. Have you talked with the township about your p 1 <br /> 4. Has there been a zoning p ermit issued ❑Yes ✓ �lo <br /> d for this property in the past 5 years? ............. <br /> l,r 93 ) <br /> _' —) (leave blank if none <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal �,es No e) know <br /> 6. Is a location survey required? (see reverse) LJ❑Y�es Elio 7. Is this to correct a violation? ... ..•...... ........... <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ -'+ - <br /> 545-112(4/08) <br />