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• <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> =I! <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Stone Racing Investments, LLC S V 0 <br /> Zoning Status;CUP; b 0-6 <br /> OWNER ADDRESS (Number,Street,City,State:Zip) Deed Restriction; CSM 1 <br /> 3017 Perry Stret, Madison,Wisconsin _ Variance(# ) <br /> HOME PHONE I CELL PHONE E-MAIL ADDRESS <br /> 608-274-5054 1 608-345-6321 stoneracing @gmail.com ❑ Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME At Kean Kemnitz Professional Consultants, Inc. ❑ Site Pla cl ing location 4 AGENT ADDRESS CONTRACTOR ADDRESS Of w Ic <br /> 3733 Nagawicka Road 3733 Nagawicka Road <br /> (City,State,Zip) (City,State,Zip) Setbacks 30/0 0 <br /> Hartland, WI 53029 Hartland,WI 53029 . <br /> PHONE PHONE •4 Site Plan approval from / 4 <br /> 262-367-6080 262-367-6080 '•0 ' - - • gip. � <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> k @pci48.com k @pci48.com ❑ Floor to scale 'S <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usi) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑ Elevation of property <br /> ❑ <br /> NUMBER R 032/0709-354-8890-9 p C-2 5.13 frontage drawn to sc <br /> TOWNSHIP: SECTION: ' i , ❑ Driveway per <br /> 7 North _—35 4: SE �4 <.NW (state,coun ,town) <br /> ADDRESS: <br /> Southeast Corner of Intersection of East Badger Road and Ski Lane, Town of Madison OS:.• •, permits <br /> CSM: I LOT SUBDIVISION BLOCK/LOT <br /> •UbIIC,private) /#4._ <br /> . <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW !'' n <br /> PROJECT DESCRIPTION: r Z e/� <br /> Kelly-Moss Motor Sports !`•d Zoning District <br /> © This project is a new building or structure, P�•, --• e? u/!'`a <br /> ❑This project is an addition/alteration to an existing building or structure. kt: `1,,SANITARY SERVICE: PERMIT NUMBER: , ❑ '•... Address <br /> © SEWER ❑SEPTIC new-xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) „�/� <br /> 28 2 `P f/�Wetland/Floodplain/ t <br /> ?ell.?r.,,i.. .- hment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or por• es) <br /> BASEMENT. 1 1ST FLOOR: ❑ ErosionControl permit <br /> 4. TOTAL SQUARE FOOT-GE: 4 (slopes.disturbance; <br /> ---- 30,000 filling/access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 3,000 ---- 33,000 VA Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: Q and available options. <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ ♦ �I' 1,700,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes © No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes © 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 ❑No ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ❑No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —* - —s <br /> 545-112 14/08) <br />