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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 /> Andrew and Jamie Fieber ❑Zonin st s; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed triction; CSM <br /> 9407 Ancient Oak Ln,Verona, WI, 53593 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)209-2183 andyf @aldopartners.com ['Site Pla I wn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Aldo Partners, LLC ❑Site Plan includin cation <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/s <br /> PO Box 45601 <br /> (City,State,Zip) (City,State,Zip) ❑Set,a s <br /> Madison, WI 53744 <br /> PHONE PHONE ❑Site PIy,� p/- rom <br /> (608) 209-2183 applic,1%e ► nsh,.. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> andyf @aldopartners.com ❑ Floor plans tGcale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co,dane.wi-us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑ Elevation of piroparty <br /> ❑PARCEL 0708-301-6645-0 Al 0.74 frontage draOdio scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> ❑ ►p .-. <br /> Middleton '�4 Y41�4. Dr.e. - .e town) <br /> ADDRESS: �� `� <br /> kivicc,,y„t_<- <br /> ❑Sanit permits <br /> CSM: LOT SUBDIVISIOR• BLOCK/LOT <br /> 5 Cherrywood Forest (publi ,private) m <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Residential Construction Project ❑ Zonin p strict <br /> . 0 This project is a new building or structure. CI PermittS Use? <br /> ❑This project is an addition/alteration to an existing building or structure.( 6 SANITARY SERVICE: PERMIT NU ER: 0,7.0 ❑ ,R/u l Address <br /> DEWER 12.EPTIC 1 '^ t/( teyt//existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) `J <br /> 28.8 2.0 ❑ Wetla/a/ I dplain/ <br /> Shor .,• ( tachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> ❑ ErosionC trot permit <br /> BASEMENT 1ST FLOOR: p , / <br /> 2,667.0 2,858.0 V 4, TOTAL SQUARE FOOTAGE: 4, (SI� bance, <br /> 2ND FLOOR: 3RD FLOOR: full C e/S� <br /> 1,600.0 0.0 7,125.0 ❑ Revi urvey <br /> ESTIMATED CONSTRUCTION COST: $ and , i 7.l- options. <br /> (Please round to nearest dollar) ♦ ♦ —' —► ♦ ♦ $ 475,000.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Des ✓❑No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes o ❑Don't know <br /> ❑ <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? Des ✓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? Des ✓❑No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4108) (Continue on Back) —► —► —r <br />