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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CU TOMER TO PROVIDE <br /> OWNER NAME <br /> Brian & Stephanie Sweeney <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Si Zoning Status;CUP; <br /> 1125 Red Tail Drive Madison WI 53593 (fed Restriction; CSM <br /> /Variance(# ) <br /> HOME PHONE CELL PHONE E-MAILADDRESS <br /> (608)333-9135 Briansweeney02 @yahoo.com E S?Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION ?nd includes dimensions <br /> AGENT NAME / NAME <br /> Jeanette Acker C.) 57� - id�, Premier Builders El/S. Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well/septic <br /> 102 N Holiday Drive 102 N.Holiday <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 A.pplicapl'etownship. <br /> E-MAILADDRESS E-MAIL ADDRESS 1 I <br /> jeanette.acker©gmail.com kyleacker.premier @gmail.com El floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) levation of property <br /> PARENT PARCEL NUMBER: CURRE ZONI : ACREAGE: p p dy <br /> ❑NUMBER 0708-321-4101-0 M 6-r frontage drawn to male. <br /> TOWNSHIP: SECTION: 11-- S s' 1 i <br /> • Middleton 32 '/a: 'SW 1/41/4: - ❑ riveway.•ptrmlts I \ ; <br /> ADDRESS: ; n st /county,town) v J <br /> - ) co 1 't e e 1L L rY permits <br /> ermits <br /> CSM: LOT 1 SUBDIVISION BLOCK/LOT <br /> (pyblic,private) <br /> Aspen meadow?' Es ,.�S r <br /> PROPOSED PROJECT INFORMATION J�TAFF REVIEW <br /> PROJECT DESCRIPTION: (� J <br /> New home construction project Ir� j (C (^�e 5 a- UDC a aping District <br /> . 0 This project is a new building or structure. i Permitted Use? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: D rat Address <br /> [EWER [EPTIC )`� ` © ' (new xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 32.0 2.0 D Wetland/ odplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shore d (attachment) <br /> T <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) D E sionCOnt permit <br /> BASEMENT: 1ST FLOOR: <br /> 4.7.47-7- TOTAL SQUARE FOOTAGE: j ( opes,dl's urbane, <br /> I Illing/mess) 1 <br /> 2ND FLOOR: 3RD FLOOR: / / <br /> 2,$54.0 9S 9/ -878694)— <br /> Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> -+ ♦ ♦ <br /> (Please round to nearest dollar) $ 650,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ONo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes QNo DDon't know <br /> 3. Have you talked with the township about your project and are they in agreement'? QYes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Y ' ✓❑No <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (le a blank if none) <br /> 6. Is a location survey required? (see reverse) es ❑No rkon't know <br /> 7. Is this to correct a violation? [Yes [:=IN0 <br /> a, APPLICATION MUST BE SIGNED <br /> 545-112(4/08) 7 .. (Continue on Back) -. -► -. <br /> l 1 <br /> n <br /> ¶ f�. <br />