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1>eyilck Df a s -7c6—4186 to ke62 . <br /> ZONING PERMIT APPUCATION www.., : i 1 ,, .-COM SUPPLEMENT to Web-App ; <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVWE <br /> OWICR NAME <br /> V & B Wendt Properties, LLC <br /> ID Zoning Status;CUP; <br /> OWNER ADORESS(Number,Street,City,State,bp) Deed Restriction;CSM <br /> 5559 County Road F,Mazomanie,WI 53560 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)767-3455 (608)513-7146 v‘vvy@tdcnet ED Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dmensions <br /> AGENT NAME CONTRACTOR NAME <br /> Meigs Inc. witimirsira <br /> AGENT ADDRESS CONTRACTOR ADDRESS <br /> 1527 State Road 14 <br /> (Citt State,Zip) (City,Slaw Zip) 0 setbacks <br /> Black Earth,WI 53515 A. <br /> PHONE PHONE 0 Site Pla i ii,., • : from <br /> (608) 767-2729 appr..:,, . ip. <br /> E-MA1L ADDRESS EAMIL ADDRESS <br /> ken@meigsbuilds.com ID Floor plans to scale <br /> PROPERTY LOCATION INFORMATION lhttp:',accessdane.co.dane.wt.us,) <br /> PARENT PARCEL NUMBER: CURRENT ZOMNG: ACREAGE: ..„ ,.. r:,. <br /> n PARCEL 0806-231-8040-9 Al EX 140.00 <br /> 1---INIJNHER <br /> TOWNSHIP SECTION: <br /> Black Earth 23 14: NE 141%; NE 0 Driveway permits <br /> ADDRESS: (state,county,town <br /> 5559 County Road F, Mazomanie, WI 53560 N <br /> El SarlitOsegi <br /> esti& LOT sU801VIsIoN 8LoclULoT (publ• le $3 $ /4 <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Ag Building — ON sli rnE roo-T Pf 1 vrr- or -714E )Lt eq9ersi C di oning District <br /> . 0 This project is a new building or structure. U Permitted Use? <br /> OThis project is an addition/alteration to an existing building or structure. <br /> SAMTARY SF_RVICE: PERMIT NUMBER: U Rural Address <br /> FIEWER FIEPTIC (newhaxiiigrir <br /> HEIGHT IN F T:a t <br /> \I V 91161 NUMBER OF STORIES: (Not including basement) <br /> 1.0 LI Wellaid/Floodplainl <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) <br /> 1.3 <br /> BASEMENT: 1ST FLOOR: <br /> 2,160.0 4 TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> 2P41 FLOOR: 3RD FLOOR: fang/access) <br /> 2,160.0 <br /> 0 Review Location Stwvey <br /> ESTOSIATED CONSTRUCTION COST: and evadable options. <br /> (Please round to nearest dollar) --* "*. -. -°. -* ... $ 74,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes laic ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes Gala aon't know <br /> 3. Have you talked with the township about your project and are they in agreement? laes Dr40 <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Oyes Dio <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) Oyes alo DDon't know <br /> 7. Is this to correct a violation? Ores to <br /> APPUCATION MUST BE SIGNED <br /> (Continue on Back) -, .4, --1. <br /> 545-112 WM <br />