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SUPPLEMENT to We6•App X
<br /> ZONING PERMIT APPLICATION www.countyofdane.com
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<br /> •PROPERTY:OWNERINFO, . .F0A' ' _:xt. .,.,,;._ t:k .. , ;,"r,. . _ $ ,,,art CUSTOMER TO PROVIDE
<br /> OWNER NAME
<br /> The Heffron Company
<br /> ❑Zoning Status; P:
<br /> OWNER ADDRESS (Number.Street CI, Etat,.Z ; Deed Restri 'on:CSM
<br /> 2000 Prairie Street, Suite 200 Prairie du Sac. WI 53578 ! _ Variance(# )
<br /> HOME PHONE CELL PHONE ._i Ali-ADDRESS
<br /> (608)643-8525 (608)963-6022 heff@heffronhomes.com ❑Site Plan draw t tale
<br /> AGENT INFORMATION ,a o f lAi-4Vi t9N*400*N10,01 Alit- 'x,,y_ ., , and includes di nsions
<br /> AGENT NAME CC,4TR:'.0 T OR NAME
<br /> Daniel Heffron Jr. Heffron Homes ❑Site P including location
<br /> AGENT ADDRESS :oriTRACTOP ADDRESS of well ep c
<br /> 2000 Prairie Street, Suite 220 2000 Prairie Street, Suite 220
<br /> (City.State.Zip) Stet- Z r., ❑Setba s
<br /> Prairie du Sac, WI 53578 Prairie du Sac,WI 53578
<br /> PHONE .PHONNE ❑Site Pla p AI` m
<br /> (608) 644-3911 (608) 643-8525 applica ip.
<br /> E-MAIL ADDRESS E-L'A!__,^,DRESS
<br /> heff @heffronhomes.com heff @heffronhomes.com ❑ Floor plans tv9cee
<br /> PROPERTY/LOCATION INF_� 0 (h `�/acc ssdane.aa i,;r , ,iis rerg ._ ti: El Elevation of pr erty
<br /> - PARENT PARCEL NU.SBER CURRENT ZONING ACREAGE
<br /> nPARCEL 050/0907-184-3023-0 R-1 0.48 frontage dr n to scale.
<br /> NUMBER
<br /> TOWNSHIP: SECTION
<br /> Roxbury 18 A: SE !;.;,:• SW ❑Driveway its
<br /> ADOPADDRESS: _--- -- (state.co ty.town)
<br /> 7289 Flyhawk Lane, Sauk City WI 53583
<br /> ❑Sanitary e Tlts g
<br /> csra LOT 3 suFr,ISIOr; BLOCIe_c T (public,p ate)
<br /> Black Hawk Fields ,3
<br /> Tt.y i J ry
<br /> IY},.cuha'i�
<br /> PROPOSED PROJECT INFO 1- : n,a;_ ,.,_;4_:: :MSN'
<br /> _ _,. :: STAFF REVIEW
<br /> PROJECT DESCRIPTION.
<br /> New Home construction/Single story home w/attached garage Zoning Di Ict
<br /> . rg This project is a new building or structure. J PermitteJse?
<br /> ❑This project is an addition/alteration to an existing building or structure.
<br /> SANITARY SERVICE: PERMIT NUMBER: D Rural Address
<br /> EWER n�SEP-P: -xisting)
<br /> HEIGHT IN FEET NUmEtER OF STORIES (r!-,1-„e!:;., ase.:ent,
<br /> 21.0 1.0 Wetland/Floo al
<br /> — Shoreland (att c
<br /> AREA TO NEAREST SQUARE FOOT.
<br /> (Outside dimensions including unfinished area.attached garages and above crack decks or porches(
<br /> BASEMENT: ,sT-LO::1R — 4, J ErosionContr rmit
<br /> 1,658.0 2,959.0 d TOTAL SQUARE FOOTAGE: (slopes,d rbance,
<br /> 2ND FLOOR: 3P.0=LGCiR: —”— — filling/access)
<br /> 4,617.0 Review Lo atio urvey
<br /> ESTIMATED CONSTRUCTION COST: -P -0 -� and availa e ptions.
<br /> (Please round to nearest dollar) $ d�-j0 f 0.17 t7
<br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? EYes No IDon't know
<br /> 2. Is there a wetland or floodplain on or near the property? EYes ❑No [Won'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? LYes Es 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) EYes Do ❑Don't know
<br /> 7. Is this to correct a violation? EYes IsiNo
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<br /> 1--k l--• Zb f(.Q — c oqS APPLICATION MUST BE SIGNED
<br /> (Continue on Back) -i -+ -►
<br /> 545-11213^_:Cl mac`sr " tt/r t 1y
<br /> 'Zr(to
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