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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Wpb App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME BEEANDBEE INVESTMENT CO LLP 2 <br /> 0Zoning Status; CUP; �� r� <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM ?Q'Z 6 <br /> 1477 Hwy 51 Stoughton,WI 53589 Variance(# <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS `Z 07(608)873-1378 - — ,�A( Site Plan drawn to scale <br /> J <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions \c itl <br /> AGENT NAME CONTRACTOR NAME <br /> Kirk Crawford Kirk Crawford Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic , <br /> 126 S. First St. 126 S.First St C <br /> (City,State,Zip) (City,State,Zip) • Setbacks 5/j/3 0// 2._ <br /> Mt Horeb WI 53572 Mt Horeb WI 53572 <br /> PHONE PHONE Site Plan approval from — <br /> E-MAIL ADDRESS (608) 437-2320 E-MAIL ADDRESS (608) 437-2320 applicable township. g6q <br /> Kirk @signartmadison corn Kirk @signartmadison.com j* Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usn <br /> PARENT PARCEL NUMBER CURRENT ZONING ACREAGE Elevation of property <br /> 12 NUM ER 052/0510-011-9890-2 C-1 DCPREZ-0000-0702 1 52 frontage drawn to scale <br /> TOWNSHIP: SECTION: <br /> TOWN OF RUTLAND 1 '/a: SE /4% I • NE a I' -y permits <br /> /4. ounty,town) <br /> ADDRESS: 1477 Hwy 51 Stoughton, WI 53589 �l���Y1:::1++ita <br /> CSM: 8 116 LOT 3 SUBDIVISION BLOCK/LOT Sanitary its <br /> (public <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION <br /> Sign Permit Zoning District C r <br /> ❑This project is a new building or structure. V(Pe�,Use? �v Z� <br /> This project is an addition/alteration to an existing building or structure. �/7 r- /z,. 2, in./4 I <br /> SANITARY SERVICE: PERMIT NUMBER: K�I Rural Ad�•�rg-!'7 <br /> EWER AEPTIC (new/ZIP' <br /> HEIGHT IN FEET: /f 2/( �' NUMBER OF STORIES:/lot including basement) We 1• Flood p lain/ <br /> tlif c--2 flir•. (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> rOSIOnCOntr01 permit <br /> BASEMENT: 15 87� `� �/ , TOTAL SQUARE FOOTAGE: ,, (slopes,disturbance, To <br /> / / 0 filling/access) Ii <br /> 2ND FLOOR 3RD FLOOR: Z 3 6 AN t <br /> _ AiReview Location Survey Ay <br /> ESTIMATED CONSTRUCTION COST: _ ♦ ♦ ♦ ♦ @ and available options. ,A-- <br /> (Please round to nearest dollar) $ 15,000.00 <br /> — „ „ <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Des ❑No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ❑No ['Don'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? [Yes alo <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 ❑No ['Don't know <br /> 7. Is this to correct a violation? ['Yes ❑No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —* ■ —► <br /> 545-112(4/08) <br />