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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME QQ <br /> Scott Frank Zoning Status;CUP; A ,Z f$) <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 7806 Betsy Ln,Verona,WI 53593 /)/ 1 <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS , (�I <br /> (608)663-8600 (608)469-2360 sfrank©oakparkplace.co • // $i.i�-1 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME A !1 <br /> Tyler Weavers Mike Hess giSite Plan includin• I. : .n <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/se. ' <br /> 719 Jupiter Dr 719 Jupiter Dr <br /> (City,State,Zip) (City,State,Zip) 1'i Setbacks 1 3/3o/2--'/fo/co <br /> Madison,WI 53718 Madison,WI 53718 <br /> PHONE PHONE Site Plan approval from <br /> (608) 729-2992 (608) 843-2254 applicable township. <br /> A- <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> tweavers@wisc.edu mhess@oakparkplace.com !4 Floor plans to scale fr'fr'PROPERTY/LOCATION INFORMATION (http:t/accessdane.co.dane.wi.usn PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: 0 levation of property <br /> ElPARCEL 018/0711-114-8950-0 A-2(8) 11.10 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION / <br /> Town of Cottage Grove f 1/4: ,S C +W/4: / tN Driveway permit <br /> ADDRESS. 1986 Rathert Rd, Cottage Grove, WI 53527 (state,county, �l <br /> CSM: LOT SUBDIVISION BLOCK/LOT ( Sanitary •.- <br /> 12,862 1 (public,private <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION (� <br /> 130 square foot addition to building and added interior partition. 11 t ^ ■ ' ink 0 e r■ Zoning District A <br /> OThis project is a new building or strt ores � 0 v' 1�ON- �'N- t C-C Permitted e? / 2 0 <br /> `� �� / <br /> �This project is an addition/alteration to an existing building or structure. ��b S t�� <br /> SANITARY SERVICE: PERMIT NUMBER: �Le+ Rural Ad. - <br /> EWER gEPTIC (new/: r1 <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 20.0 1.0 We /Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: orelan (attachment)�f <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ErosionControl permit <br /> BASEMENT: 130.0 30.0 1ST FLOOR: 1 30.0 (slopes, TQ ii <br /> TOTAL SQUARE FOOTAGE: (sl0 es,disturbance, <br /> filling/access) /� <br /> 2ND FLOOR: 3RD FLOOR: 260.0 / / ' <br /> Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ $ and available options. Aillf <br /> (Please round to nearest dollar) $ 30,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? OYes O 1° ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes o F Don't know <br /> O <br /> 3. Have you talked with the township about your project and are they in agreement? Yes Llo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes DVo <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 Et o ODon't know <br /> 7. Is this to correct a violation? Dyes ON <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4108) <br />