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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOM TO PROVIDE <br /> OWNER NAME <br /> Julie Penosky <br /> Voning Status; CUP; <br /> V OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 6759 Diversity Rd,Middleton,WI 53562 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)335-4352 a enosk <br /> j p y @yahoo.com as‘Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Hart DeNoble Builders Hart DeNoble Builders Sit aR-ificluding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7923 Airport Rd 7923 Airport Rd <br /> (City.State,Zip) (City.State,Zip) <br /> Middleton,WI,53562 Middleton,WI,53562 <br /> PHONE PHONE ❑Site proval from <br /> E-MAILADDRESS (608) 831-4422 (608) 831-4422 ap • a e township. <br /> E-MAIL ADDRESS <br /> bnorth @denoblebuilders.com bnorth @denoblebuilders.com r plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Ion of property <br /> PARENT PARCEL NUMBER CURRENT ZONING: ACREAGE: P p y <br /> NI NUMBER `7S(J s 35L/ 3c).o I C R--I Res. 15 9 , c frontage drawn to scale. <br /> TOWNSHIP: SECTION 1 �'� <br /> Springfield 3: '/a; E %1/4:1\1 (�v ❑Drivew., per, ' (`� /) <br /> ADDR S <br /> (sta , c•u 'y,tow !� <br /> CA3 • S r-c) ,(,'r- (1 <br /> CSM LOT SUBDIVISION BLOCK/LOT <br /> 1 L <br /> Sanitary permits /�f� <br /> Cherry Hill (public, - vate <br /> PROPOSED PROJECT INFORMATION <br /> PROJECT DESCRIPTION: <br /> New Single Family Res <br /> This project is a new building or structure. .. <br /> ['This project is an addition/alteration to an existing building or structure. " <br /> SANITARY SERVICE PERMIT NUMBER '' ° <br /> 13,201 ,600,388 <br /> EWER �EPTIC <br /> HEIGHT IN FEET: NUMBER OF STORIES (Not including basement) <br /> 27.0 <br /> 2.0 <br /> AREA TO NEAREST SQUARE FOOT <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) . „ '„ <br /> BASEME T 1STFL <br /> 611.0 )_ 1 4, TOTAL SQUARE FOOTAGE: j '.* tea°; <br /> 2ND FLOOR 3RD FLOOR: <br /> 1 ,408.0 5,858.0 <br /> ESTIMATED CONSTRUCTION COST <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ ♦ $ 480 000.00 , , <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes No ❑Don't kno/�` <br /> 2. Is there a wetland or floodplain on or near the property? nYes f No ['Don'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? ❑Yes ❑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 ENo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ❑No <br /> APPLICATION T BE <br /> (Continue on BackMUS) ♦ +SIGNED- <br /> 545-112(4108) <br />