Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Zach & Danielle Zilm ing Status;CUP; <br /> OWNER ADDRESS(Number,street'city,slate,Zp) Deed Restriction;CSM <br /> 129 Dwight Dr Madison WI 53704, Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)886-6524 (608)698-9024 danielleknorr @att.net 0 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and indudes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Setzke Custom Homes Ltd IN Site Plan induding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7319 Loper Road <br /> /17City,State.zip) (Clty,smte.Zip) 0 Setbacks <br /> � Sauk City,WI 53583 <br /> PHONE PHONE 0 Site Plan ••royal from <br /> (608) 643-3558 appli. • township. <br /> E-MAIL ADDRESS E-MAILADDRESS <br /> schomes @merr.com U F %-• plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us!) � <br /> PARENT PARCEL NUMBER: CURRENT ZONING: • ACREAGE: Ele - (on of property <br /> Q PARCEL 014/0810-104-4101-8 residential -/ 1"I 0.46 . •ntage drawn to scale. <br /> NUMBER / <br /> NMSHIP: SECTION: <br /> Town of Burke 10 y,: sw I A: se E D •eway permits <br /> ADDRE •te,county,town) <br /> SS: <br /> R.'S <br /> p o n 12 a S 'Wry permits <br /> CSM: LOT i SUBDMSION BLOCK/LOT public, <br /> 1 lothe woods <br /> PROPOSED PROJECT INFORMATION i Ew <br /> PROJECT DESCRIPTION: i <br /> \ <br /> new single family home \,_/ f /� ng D' trill <br /> 0 This project is a new building •r structure. . P ? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT UMBER. % '`Add <br /> EWER EPTIC 13---- /7— 106 -( : , 1.6:: 1 ' <br /> /HEIGHT IN FE • NUMBER OF STORIES: (Not including basement) — <br /> ,,,,, kr,AREA TO NEAREST SQUARE FOOT: gp' <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) b .� / <br /> _s permit G„ 7"- <br /> BASE <br /> " � ,..sit. <br /> j TOTAL SQUARE FOOTAGE: j (slopes, �l <br /> srro FLOOR: 3RD FLOO / (slop/access) <br /> / �eview Location Survey <br /> ESTIMA CONSTRUCTION COST ♦ ♦ ♦ ♦ ♦ ♦ ��^ and available options. <br /> (Please round to nearest dollar) J <br /> lr <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes [lo ['Don't l ow `, <br /> 2. Is there a wetland or floodplain on or near the property? QYes o 0 a• 't know <br /> 3. Have you talked with the township about your project and are they in agreement? Q Yes Io <br /> 4. Has there been a zoning permit issued for this property in the pest 5 years? [Yes ow <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) Ekes ONo ['Don't know <br /> 7. Is this to correct a violation? [Yes [Z ° <br /> APPUCATION MUST BE SIGNED <br /> 545-112( ) (Continue on Back) -► -► -* <br />