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1 o) , A <br /> SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Richard Esser , Toni Layton EriOning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> 1006 Golden Lane Waunakee WI 53597 Deed Restriction;C .e <br /> Variance(# II I ZCP ) <br /> HOME PHONE CELL PHONE E-MAILADDRESS <br /> (606)220-1313 rick©plasticingenulty.com 2Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeanette Acker Premier Builders Inc. ✓E Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 102 N Holiday Drive 102 N Holiday Drive <br /> (City.State,Tip) (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 applicable township. <br /> E-MAILADDRESS E-MAILADDRESS <br /> jeanette.adcerrtds.net kevin.acker@tds.net [r Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http:/laccessdane.co.dane.wi.us/) evationofproperty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> n PARCEL <br /> NUMBER 0707-102-9200-9 R,t.+3 i 5 _ p far_ frontage drawn to scale. <br /> TOWNSHIP: 0707-loa-q 4 4rsSTION: Drive p its <br /> Cross Plains 10 I : SW %%: NW <br /> ADDRESS: <br /> (state, ty,town) <br /> L(t-(L( 1 C e.-�S!t itt_ C-t ErSanitary permits <br /> csM: 14,565 LOT 1 / SUBDMSION BLOCK/LOT (public,private) <br /> PROPOSED PROJECT INFORMATION r STAFFREVIEWi i <br /> PROJECT DESCRIPTION: ,_,/ <br /> New Home Construction 3 Zoning.Distligt 21+—3 <br /> . OThis project is a new building or structure. 1l;Peirrriitted Use? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: '.''R r-lddress <br /> )EWER [EPTIC 13,201,700,196 7 'sting)'. <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 25.0 1.0 r., ;Wetland/Ftoodplaint <br /> AREA TO NEAREST SQUARE FOOT: Foreland(attofiir �: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 1 ST FLOOR: roslonControliperrnit <br /> 2,480.0 4,891.0 4 TOTAL SQUARE FOOTAGE: 4 t(S opeS,djstL ban <br /> •filling/aGCeSSt). <br /> 2ND FLOOR: 3RD FLOOR: 7,371.0 __..,,�� <br /> CJ.ReviewLocation:Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ "+ and available options. <br /> (Please round to nearest dollar) $ 450,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ['Yes [lo ['Don't know <br /> 2 Is there a wetland or floodplain on or near the property? Wes Eo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes Vo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes [alo <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 DVo ['Don't know <br /> 7. Is this to correct a violation? ['Yes lalo <br /> APPLICATION MUST BE SIGNED <br /> 545-112 t (Continue on Back) -r• -► -► <br />