Laserfiche WebLink
• , <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Allan Ballweg ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street.City.State.Zip) Deed Restriction; CSM <br /> 7614 Rauls Road,Dane,WI 53529 Variance(# ) <br /> HOME PHONE 'CELL PHONE E-MAIL ADDRESS <br /> (608)849-5279 (608)516-2896 ballwega @tds.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Dave Budden-Meigs Inc. Dave Budden-Meigs Inc. ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1527 Hwy 14,P.O.Box 412 1527 Hwy 14,P.O.Box 412 <br /> (City,State,Zip) (City.State,Zip) ❑Setbacks <br /> Black Earth,WI 53515 Black Earth,WI 53515 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 767-2729 (608) 767-2729 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dave @meigsbuilds.com dave @meigsbuilds.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dano.wi.us/) ❑Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE <br /> ❑PARCEL 022/0908-324-9770-6 Al-EX 4.13 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Dane 32 1/a: SW %/a%/a: SE ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 7462 Rauls Rd, Dane, WI 53529 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Lean Addition over existing cow yard ❑ Zoning District <br /> . <br /> This project is a new building or structure. <br /> ❑ Permitted Use? <br /> 151This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER T}EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 19.5 1.0 ❑ WedancUFloodptain! <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ EIOSiOnCOnt(d permit <br /> BASEMENT 1ST FLOOR: ^ - , _ ^ 2',S(a 4 TOTAL SQUARE FOOTAGE: j (srl.O,,,.�''s,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: ` � ` <br /> Z,35(:::. ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: -' -' — and available options. <br /> -' -' <br /> (Please round to nearest dollar) $ 30,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes Elislo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes Ell'Io ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes ✓�Vo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes Jo <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 EIJo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓jNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4/08) <br />