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1 <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVI <br /> OWNER NAME /J-F, -3 <br /> Robert Spencer .. Zoning Status; CUP, II � <br /> OWNER ADDRESS (Number,Street,City,State,Zip) seed Restriction; CSM )O <br /> 2230 Dyreson Rd Mc Farland,WI 53558 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (262)227-5392 Bobeatsfood@hotmail.com 0/j Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Cleary Building Corp Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic � �/�/� <br /> 190 Paoli St (/D <br /> (City,State,Zip) (City,State,Zip) PA Setbacks <br /> Verona,WI S///21 ASAIZ <br /> PHONE PHONE 122 Site Plan approval from <br /> (608) 379-0132 applicable township. 1/4 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> tleeser @dearybuilding.com !id Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http:/laccessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: EA levation of property /a <br /> s(1 <br /> EPARCEL 028/0610-233-8520-1 RH-3 8.36 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Dunn 23 +/4: NW 'WA: SW ,'1,1 Drivew-.---• i; <br /> ADDRESS: (stat ,coun ep own) pyre-S , <br /> 1` <br /> 2230 Dyreson Rd McFarland WI �7�- <br /> CSM: LOT SUBDIVISION BLOCK/LOT a Sanitary�,p�,-�.•.�'s, C- it13 <br /> (publi '"' _1 <br /> PROPOSED PROJECT INFORMATION STAFF REVI <br /> PROJECT DESCRIPTION: � � /�/ <br /> 30x32 Storage shed / P$ -er- c/ 31 X 3©x / J` r,Zoning District .-- <br /> This project is a new building or structure. 7� <br /> Pe edU..? <br /> ❑This project is an addition/alteration to an existing building or structure. ] s��`�S� <br /> SANITARY SERVICE: PERMIT NUMBER: ti! Rural Add t.- s <br /> EWER PEPTIC (new/=Z :1. <br /> HEIGHT IN FEET: 14 3 NUMBER OF STORIES: (Not including basement) W@ oodplain/ <br /> o el nd (attachment) l' " <br /> AREA TO NEAREST SQUARE FOOT: r <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) �Erosioncontrol permit 1 Q <br /> BASEMENT: 1ST FLOOR: <br /> D j TOTAL SQUARE FOOTAGE: j (slopes,disturbance, / <br /> 2ND FLOOR: 3RD FLOOR: ��O p,Q �a ' �y <br /> 1 - �I Review Location Survey Lk <br /> ESTIMATED CONSTRUCTION COST: -� ". .. ♦ ♦ $ 30'000.00 , ` and available options. <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 ✓D4o :Don't know <br /> 2. Is there a wetland or floodplain on or near the property? :Yes Ro :Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? :Yes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? :Yes ONo <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 OW :Don't know <br /> 7. Is this to correct a violation? :Yes OW <br /> 1-1 2 2 } Q (�/r� APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► <br /> 545-112(4/08) <br />