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ZONING PERMIT APPLICATION ww <br /> w .countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Joel R Brown Wing Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 2834 Lakewood Circle,Stoughton,WI,53589 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (414)507-3908 (608)516-6511 joel.r.brown @gmail.com laSittisig,drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Cleary Building Corp IgareiBian including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/se tic <br /> 190 Paoli Street <br /> (City,State,Zip) (City,State,Zip) tbacks <br /> Verona,WI 53593 <br /> PHONE PHONE ❑Site a pproval from <br /> (608) 379-0132 appli le township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> tleeser@cleary building.com loor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CU RENT ZONING: ACREAGE: EI nofproperty <br /> ❑NUMBER Clo l/ o7a °/9g0 C /f)c / , rontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> /, pf„�� '/4: '/4'/4: D--;n permits <br /> ADC ESS: / (st co ty,town) <br /> 3q L -[^'aAC1 e_il ❑Sa ” permits <br /> CSM: L•T SUBDIVISION BLOCK/LOT N <br /> (pu c, ivate) �� <br /> PROPOSED PROJECT INFORMATION FF.REVIEW <br /> PROJECT DESCRIPTION: <br /> Construct a 30e40 garage on the property in the bcadon identified on the accompanied plat of survey.The building will also have an approximate 1000sq ft asphalt driveway as well. oning s'District <br /> • This project is a new building or structure. ed Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: <br /> cis- <br /> Ura{Address <br /> [)EWER PEPTIC (nom <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> t ■ 1.0 tland/Floodpla n/ <br /> AREA TO NEAREST SQUARE FOOT: €!re ttachment <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: <br /> ) O n lopes'4, TOTAL SQUARE FOOTAGE: 4, (s ^e . r 7 <br /> 2ND FLOOR: 3RD FLOOR: V 111111 /aQGeSS <br /> 1 ,200.0 eview Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ -+ ♦ ♦ ♦ and available round to nearest dollar) $ 35,000.00 , , <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes ❑No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes EiNo ❑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 ONo <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 ❑Don't know <br /> 7. Is this to correct a violation? [Yes ✓No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4i08) <br />