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ZONING PERMIT APPLICATION wcountyofdane.com SUPPLEMENT to Web-App # <br /> ww <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Abdul Zaheer <br /> - <br /> OWNER ADDRESS (Number,Street.City.State.Zip) ❑Zoning Status;CUP; <br /> 9808 Soaring Sky Run,Verona WI 53593 Deed Restriction;CSM <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-AWLADDRESS <br /> (608)807-3616 (608)807-3616 apatan@deloitte.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeanette Acker Premier Builders Inc. ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 102 N Holiday Drive 102 N Holiday Drive <br /> (City.State,Zip) (City.State,Zip) ❑Setbacks <br /> Waunakee WI 53597 Waunakee WI 53597 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 849-6770 (608) 849-6770 applicable township. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> )eanette.adcer©tds.net )eanette.adker@tds.net ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usf) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑Elevation of property <br /> in PARCEL N UMBER 0708-321.4214-p .-/ .P frontage drawn to scale. <br /> TOWNSHIP: SECTIO : <br /> • Middleton 32 4: SW W/4: NE 0 Driveway permits <br /> ADDRESS: (state,county,town) <br /> 1-177- L O v e f et ai-Ok Pas 5 ❑Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 11 Aspen Meadows (public,private) <br /> PROPOSED PROJECT INFORMATION r:- - it <br /> PROJECT DESCRIPTION: � `i '-•:;-,-:•-;'r::a:.:::,�:;.-.':;.>: ; <br /> New Home Construction h -. ._ '::._D. .:::;:,:,•'.;:..;: <br /> • o This project is a new building or structure. �< : <br /> ❑This project is an addition/alteration to an existing building or structure. ` r 1 <br /> SANITARY SERVICE: i l `" <br /> PERMIT NUMBER: 1�_ �(�' :�pgg�� ! <br /> DEWER JEPTIC , f i."( x`.91 <br /> HEIGHT IN FEET NUMBER NUMBER OF STORIES: (Not Indudtng basement) k' {� � .. p}�,, 1 <br /> 2.0 L"1 1:3.81 a .1;.:.., . aal,fr'5+..•VIM' -.�...0 =Yh ) I <br /> AREA TO NEAREST SQUARE FOOT S- <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) ® i . <br /> BASEMENT: 1ST FLOOR: �.EnIQ)Yi�j1I� I11 " <br /> 2,344.0 3,776.0 + TOTAL SQUARE FOOTAGE: j '{81Ql{0:: pe; 1 <br /> 2ND FLOOR: 3RD FLOOR: 11100W#40-0 1r <br /> 1,958.0 8,078.0 I ':�i ev :'. . <br /> ESTIMATED CONSTRUCTION COST :` A "' :."'. u '` ' <br /> (Please round to nearest dollar) -' -' -• -, -► -e $ 576,000.00 J <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes DNo DDon't know <br /> 2. Is there a wetland or floodplain on or near the property? :Yes DO ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? DYesVo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes ✓[)lo <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 ONo <br /> APPUCATION MUST BE SIGNED <br /> 1t2(QOM (Continue on Back) -t► -► .4, <br />