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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 /> Russell & H. Joyce Endres ❑Zoning Status; C <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Re trict ; CSM <br /> 5800 County Road V,DeForest,WI 53532 Variance ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)849-7057 (608)438-2057 russjoy1993 @hotmail.com ❑Site Plan dra n t Cale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes ensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jay Gunderson,Cleary Building,Corp. Cleary Building,Corp. ❑Site Plan i cl ng location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/se <br /> 190 Paoli Street PO Box 930220 <br /> (City,State,Zip) (City,State,Zip) ❑Setbt <br /> Verona,WI 53593 Verona,WI 53593 <br /> PHONE PHONE <br /> ❑Site Pla ..pprt <br /> (608) 212-2129 (608) 845-9700 applic.ie ,•w ;. •. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jgunderson@clearybuilding.com verona@clearybuilding.com ❑ Floor pl ns O scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑ Elevation operty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 0909-174-8000-9 A-1 (EX) 41.30 frontage dra n to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: ❑ <br /> Town of Vienna 17 1/4: NE 1/41A: SE Drive <br /> ADDRESS: (state cou ty, own) <br /> 5800 County Road V, DeForest, WI 53532 <br /> ❑San,, , <br /> .:w'$ <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> (puf c, ,( .te) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Tearing down a cattle shed&replacing with a cattle shed same size and location ❑ Zoning D ri <br /> roject is a new building or structure. ❑ Permitt Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NU Cl Rural Ad• ess <br /> © r` <br /> (new/e i�ir''� <br /> (/�'�. UER TEPTIC �( e <br /> HEIGHT IN FE T: NUMBER OF STORIES: (Not including basement) <br /> rl 1.0 ❑ Wetland/= .4.••r� <br /> Wetland/ <br /> - d ,,--c ent) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimension i cluding unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ Erosion on • -r • <br /> 4, TOTAL SQUARE FOOTAGE: 4, (Slop is •a e, <br /> 2ND FLOOR: 3RD FLOOR: Min. =cce s <br /> CG ❑ Review Lo do urvey <br /> ESTIMATED CONSTRUCTION COST: $ and availabl tions. <br /> (Please round to nearest dollar) .— ♦ ♦ —P $ 40,000.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes '4No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes E:INo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? res ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes '4No <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 rNo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes QNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► —► —► <br /> 545-112(4/08)Gj scV OLIO l,�,c� ti e 0,__ efr <br />