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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Jonathan Neese <br /> Zonin Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) ed Restriction; CSM <br /> \_, 271 Craig Road,Albion, WI 53534 <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS Variance(# ) <br /> (608)279-3400 (608)279-3400 Neese @mac.com <br /> Q Site ' . drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION - d includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Dick Vock MODS International Site P • cluding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS ell/septic <br /> 5523 Integrity Way 5523 Integrity Way �, <br /> (City,State,Zip) (City,State,Zip) a�,e HDa/cks <br /> ,Appleton,WI 54913 Appleton, WI 54913 <br /> v/PHONE PHONE MI Site proval from <br /> (314) 406-4350 (920) 560-4800 applic township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dvock @modsinternational.com dlarson @modsinternational.com 19 Flo. plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) 0 lev • n of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: D / A REAGE: <br /> PARCEL 0512-141-8060-7 Residential - , 1.50 age drawn to scale. <br /> GO NUMBER <br /> TOWNSHIP: SECTION: <br /> Albion 14 +/4: NE +/4+/,: NE veway per •' <br /> ADDRESS: (state,coun . <br /> C) \ 303 Craig Road <br /> INI <br /> csM�l ��`� LOT SUBDIVISION BLOCK/LOT ,Sanitary permits k 1 735 2 Not Applicable 2 (publi riv 1 C 4 <br /> PROPOSED PROJECT INFORMATION ; STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Residence ring District <br /> . 0 This project is a new building or structure. P fitted Use? <br /> This project is an addition/alteration existing❑ p ) anon to an xlsting bullding or structure. r—� <br /> SANITARY SERVICE: PERMIT NUMBER:_j}'- � a ® - Address <br /> EWER [EPTIC �� I2-i _,3gx� isting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 29.0 3.0 ❑ W- •• Floodplainf <br /> horelan•', -ttachme ) <br /> AREA TO NEAREST SQUARE FOOT: /'', l <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) 60, "' 47 <br /> 1 rosionCantrol pn \ <br /> BA MENT 1ST FLOOR: <br /> , <br /> 640.0 1,28 <br /> 0.0 , TOTAL SQUARE FOOTAGE: ,, (slopes,disturban , <br /> 2ND FLOOR: 3RD FLOOR: filling/access) f <br /> 770.0 130.0 2,820.0 <br /> 111/RZw Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) -► • • ♦ ♦ -' $ 247,949.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes ❑No ❑Don't know <br /> ['Yes 2. Is there a wetland or floodplain on or near the property? Yes ✓N0 ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes Dlo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Ores ❑✓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) [Yes ✓❑No ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓❑No <br /> — APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) ■ -r -0. <br />