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SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Holy Cross Lutheran Church <br /> El Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 734 Holy Cross Way, Madison, WI 53704 <br /> Variance(# <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)249-3101 ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Catalyst Construction ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 833 E Michigan St#1000 <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Milwaukee, WI 53202 <br /> PHONE PHONE ❑Site Plan approval from <br /> (414) 303-1852 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeffwheeler @catalystbuilds.com ❑ Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 251/0810-344-0414-5 SR-C1 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> '/: '/a'/a: ❑ Driveway permits <br /> ADDRESS (state,county,town) <br /> 734 Holy Cross Way, Madison, WI 53704 <br /> El Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION . <br /> PROJECT DESCRIPTION: K 4 <br /> Church Addition <br /> . ❑This project is a new building or structure. <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE PERMIT NUMBER: ,._ <br /> I—VIEWER �EPTIC <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 1,015.0 2.0 `CU p <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: <br /> 1 TOTAL SQUARE FOOTAGE: j <br /> 2ND FLOOR: 3RD FLOOR. <br /> l } , <br /> ESTIMATED CONSTRUCTION COST: <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 ONo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ❑No Es 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 ❑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 ❑No ODon't know <br /> 7. Is this to correct a violation? Eves 12 No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4 08) (Continue on Back) <br />