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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Christina Watson ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 1746 State Highway 73 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 60-7 70. 2'439 ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAIAE CONTRACTOR NAME <br /> ftrsa W OS 0 Pinno Buildings ❑Site Plan including location <br /> AGENT ADDRES N� a CONTRACTOR ADDRESS of well/septic <br /> ( ( S � ` r`'I b✓'Y tS 5f. 5540 State Highway 50 Suite 102 <br /> (City,State,Zip) �- (City,State,Zip) ❑Setbacks <br /> S-}I.. L -. L) ( cj3S9' Delavan, WI. 53115 <br /> PHONE V PHONE ❑Site Plan approval from <br /> 6(, - '40-7-3161 (608) 295-5141 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> gvtd ,w t.J,4sch•,Ne.,, bradc @rapinno.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: . ❑Elevation of property <br /> ❑PARCEL 016061234295801 Pk I (e X\ 15 `A frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Christiana 1/4: 1/41/: ❑Driveway permits <br /> ADDRESS: 1746 State Road 73 (state,county,town) <br /> CSM: LOT 'SUBDIVISION 'BLOCK/LOT ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Storage building for agriculture use ❑ Zoning District <br /> • 12 This project is a new building or structure. ❑ Permitted Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER PEPTIC (new/existing) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> 18.0 1.0 ❑ Wetland/Rood*0 ' <br /> Shorelatu (attachment) <br /> AREA TO NEAREST SQUARE FOOT <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) ❑ EOnCENttr01 permit 0.0 1ST FLOOR: 1,728.0 <br /> j TOTAL SQUARE FOOTAGE: ,+ (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: tiling/access) <br /> 0.0 0.0 1,728.0 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ $ 0I -� <br /> U O L and available options. <br /> (Please round to nearest dollar) <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ['Yes gflo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ZYes No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? , s <br /> ow <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes [To <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 ✓N° ['Don't know <br /> 7. Is this to correct a violation? :Yes Jo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► -♦ —► <br /> 545-112(4/08) <br />