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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 /> John and Sarah Roy Wing Status; CUP; <br /> OWNER ADDRESS (Number,Street.City,State,Zip) Deed Restriction; C <br /> 1221 Redan Drive, Verona, WI 53593 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608) 347-3467 jcroy24 @yahoo.com ite Plan drawn to scale// <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensidrts <br /> AGENT NAME CONTRACTOR NAME <br /> Hart DeNoble Builders Hart DeNoble Builders US+ter'P1an includil ca i <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7923 Airport Rd 7923 Airport Rd <br /> (City,State,Zip) (City,State,Zip) acks V 49 <br /> Middleton, WI 53593 Middleton, WI 53593 <br /> PHONE PHONE ❑ Site provalf 75\?...,-. <br /> (608) 831-4422 (608) 831-4422 apple to town i . <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> bnorth @denoblebuilders.cm bnorth @denoblebuilders.com oor plans to scaly <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) El ation of ro <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGEU', P P <br /> ❑PARCEL CD-70 -3aq N 434 ° Res �_/ O o ge drawn to ale. <br /> NUMBER <br /> TOWNSHIP: `�1J�Ji SECTION: <br /> li(,} - "E'iY� 3�'" '/4: i '/0'/4:S'�`J <br /> (state( �• own <br /> ADDRE : , 1e I f Or �� <br /> -71113 T � L . <br /> CSM: LOT SUBDIVISION BLOCK/LOT ublary nvatets �ffif, a� <br /> 4' tY1F.6,Dow iz- PL` 1 3 (p � vLv <br /> PROPOSED PROJECT INFORMATION �� <br /> STAFF RE1t1El111`y�: <br /> PROJECT DESCRIPTION: <br /> New Single Family Res ifr7 - t <br /> This project is a new building or structure. US <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PE IT NUMJJBER: / ° 'a <br /> EWER PEPTIC re Ad it C. /1g6�l.e. <br /> HEIGHT IN FEET: ,..4.__I NUMBER OF STS: (Not inc ng basement)\ �t u <br /> / . 2.0 II i�BY m: ~ o i � <br /> AREA TO NEAREST SQUARE FOOT: * #y <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) ii" - <br /> BASEMENT: 1ST FLOOR: • ,!�* '/ . perm <br /> 2,969.0 2,969.0 ,, TOTAL SQUARE FOOTAGE: 4, Ng.006* . -lice, <br /> © S f 9 f , • ,„..y. <br /> 2ND FLOOR: 3RD FLOOR: �10/ ��-,r.�"" <br /> 1 ,933.0 14/I-7 ti . 7;8'7`9-"Q ` 376 view Location S " <br /> ESTIMATED CONSTRUCTION COST: Q c 0 ay •; <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ '� 8a t 000 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes RI' o ❑Don't know, <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ' o ❑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 ° <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) es ❑No ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes _1:5kIL: <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112 14/08) <br />