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t l Lilt (5)' <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME Matthew & Brittany McCoy ❑zoning to ,CUP; <br /> OWNER ADDRESS (Number,Street.City,State,rip) Deed Re ;CSM <br /> 7741 &7743 State Hwy 69 Belleville,WI 53508 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)712-0997 homesteadmeatswi@gmail.com r2 Site PlarylArn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and indud6 dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> ❑Site PI in uding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well// 'c <br /> (City,State,Zip) (City,State,Zip) p Seto l/ s <br /> PHONE PHONE ❑Site PI- ' a •'ON . • <br /> applica, :- • ip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> MI Floor plan scale <br /> PROPERTY/LOCATION INFORMATION (http:1;accessdane.co.dane.wi.us/) Elevation f <br /> PARENT PARCEL NUMEER: CURRENT ZONING: ACREAGE: P <br /> certy <br /> Q PARCEL 040/0508-314-9000-7 Al-EX 55.00 frontage d to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Montrose 31 '/4: SE %in: ❑Driv- ay •:4i4i <br /> ADDRESS: (Stat: , • • ) <br /> 7741 State Hwy 69 Belleville, WI 53508 ❑Sanitary permits AilOtk e r`r <br /> CSM: LOT SUBDIVISION BLOCKJLOT (public,private) Fp......15-PROPOSED PROJECT INFORMATION STAFF EW aC, )4 <br /> PROJECT DESCRIPTION: �p ea-0 l IL��� <br /> 2 new tans(3631'w 15Yt2 lean off the wad•iAr; - - "• - ....- lC ..(cam", ❑ ZOni <br /> . MI This project is a new building or structure. ❑ Perrnitk,51‘e? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: 6,4PTIC PERMIT NUMBER: ❑ Rural Address <br /> EWER (new( ) <br /> HEIGHT IN FEET:A �1 �p NUMBER OF STORIES: (Not including basement) <br /> M/1 eC p-1 l 1.0 ❑ w:..., .•ar•I.• <br /> l( • `,W vV • (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ Erosion <br /> •r i . Petiitlt <br /> BASEMENT: 1ST FLOOR: r ,r: • 4y. •, ._s <br /> I j, TOTAL SQUARE FOOTAGE: j <br /> 2�FLOOR 3RD FLOOR: <br /> 1 not vats -051 �- r210, <br /> fig►- • ) <br /> ' 1 t° Y A 'vz'( Re ' Survey <br /> ESTIMATED CONSTRUCTION COST: and a options. <br /> (Please round to nearest dollar) -.• -•• --e• -, 2 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes Elio [on't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ✓ o Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑✓YesV ['Don't <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ['No <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 ✓l to Dpon't know <br /> 7. Is this to correct a violation? ❑Yes }lo <br /> APPUCATION MUST BE SIGNED <br /> (Continue on Back) -e ♦ —► <br /> 545-112(4,O8) <br />