Laserfiche WebLink
11x(, <br /> SUPPLEMENT to We •App <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> CANER NAVE <br /> Peter Dottl <br /> Zoning Status. CUP <br /> RESS ;<„ .per.S;'ee Deed Res Res:rictIon. CSIU <br /> 5246 Co., :y Rc A Brook y'-WI 53t)2' <br /> Variance(# <br /> CE_L PHON= -J ..DRESS <br /> (608)515-6905 I I Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Morton Buildings Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS <br /> of well/septic <br /> 2355 Chris-Na-Mar Rd <br /> (City.State Zip) (City.State.Zip) Setbacks <br /> Dodgeville WI 53533 <br /> PHONE PHONE ❑ Site Plan approval from <br /> (608) 574-7662 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> travis.halverson @mortonbuildings.com n Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wLusn n Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 042/0509-222-8001-7 �_1 r- I frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: O 5°C1 �1 C Driveway permits <br /> 5 CT <br /> , , , H" 4.. �4�4. <br /> ADDRESS (state, county,town) <br /> 5246 County Rd A Brooklyn WI 53521 <br /> CSM: LOT 1 SUBDIVISION BLOCK/LOT [1] Sanitary permits <br /> (public, private) <br /> PROPOSED PROJECT INFORMATION <br /> STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Riding Arena/Stall Barn GA/Permitted District <br /> This project is a new building or structure. LSd/Permitted Use? <br /> [1This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: Rural Address <br /> EWER SEPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> ZWetland/Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) _,/ <br /> BASEMENT: 1ST FLOOR: Ly ErosionControl permit <br /> j TOTAL SQUARE FOOTAGE: ,, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access)U_ Oaat <br /> L� Review L tion Survey <br /> ESTIMATED CONSTRUCTION COST: and available o tions. <br /> (Please round to nearest dollar) ♦ -� -' $ 281246.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? nYes ]—]Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Yes 7/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 Mho <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 TlDon't know <br /> 7. Is this to correct a violation? —Yes ]7]No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —■ —. -� <br />