Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> June Schacht <br /> OWNER ADDRESS (Number,Street,City,State,Zip) oning Status; CUP; <br /> 6187 Cty Rd P, Dane, WI 53529 Deed Restriction;CSM <br /> HOME PHONE CELL PHONE Variance(# ) <br /> E-MAIL ADDRESS <br /> (608)849-5407 [ rPlan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> P-C) n Zeman Home Improvements, LLC lasire7sigh including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7806 Inama Road <br /> (Pit'y,State,Zip) (City,State,Zip) S acks <br /> �V/ Sauk City, WI 53583 <br /> PHONE PHONE ❑Site P n pproval from <br /> (608) 643-8129 applic a township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> zeman.margo @gmail.com oor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: I ,. 0 CURRENT ZONING: g_/ ACREAGE: tlon of property <br /> ❑PARCEL 056/0808-054-95 <br /> NUMBER Residentia4 0.94 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Town of Springfield <br /> 1/4: Drive per is <br /> ADDRESS: (state,c y,town) <br /> 6187 Cty Rd P, Dane, WI 53529 <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary permits Q� <br /> (public, <br /> ) <br /> PROPOSED PROJECT INFORMATION S F-��'EW <br /> PROJECT DESCRIPTION: <br /> ateration addition ni District <br /> . <br /> This project is a new building or structure. P rmitted Use? <br /> 12 This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: CkaucE0 Address <br /> EWER rEPTIC (n fex}St <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 14.0 1.0 II etl d plain/ <br /> AREA TO NEAREST SQUARE FOOT: Orela attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: – rOSIOnCOntrOl •@rmlt '`4b <br /> 1,042.0 1,21 0.0 4 TOTAL SQUARE FOOTAGE: + (slope- disturban a- <br /> 2ND FLOOR: 3RD FLOOR: f1IIIn9IaCCe + C <br /> L.—bnot <br /> L Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) ♦ ♦ -♦ • • ♦ $ 185,000.00 <br /> \A i <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ❑I Jo ❑Don't know 0 <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ao ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes ✓❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ✓ao <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 ✓❑No ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓❑N0 <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) <br />