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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION <br /> OWNER NAME CUSTOMER TO PROVIDE <br /> Tech Building 1 LLC Matthew D Meier <br /> OWNER ADDRESS (Number,Street,City,State,Zip) ❑Zoning Status; CUP; <br /> Deed Restriction; CSM <br /> Alexander Company,345 W.Washington Avenue,Suite 301,Madison,WI 53703 Variance(# ) <br /> HOME PHONE I CELL PHONE E-MAIL ADDRESS <br /> (608)576-3487 mdm @alexandercomapny.com 0 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Robert Mangas,Potter Lawson Ryan Jacobson,JH Findorff&Son,Inc. ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 749 University Row,Suite 300 300 S Bedford St. <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Madison,WI 53705 Madison,WI 53703-3699 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 274-2741 (608) 257-5321 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> robertm @potterlawson.com rkjacobson @findorff.com ❑ Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usn ❑ Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 0709-363-2101-0 C-2 Commercial District 2.95 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Madison 36 1/4: SW 1�4l�4: NW ❑ Driveway permits <br /> ADDRESS: (state,county,town) <br /> 145 Badger Road <br /> ❑Sanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT (public,private) <br /> Novation Technology Campus <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Building addition,canopy addition,and equipment platform addition ❑ Zoning District <br /> . <br /> This project is a new building or structure. ❑ Permitted Use? <br /> 151This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER r--- EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 24.0 1.0 ❑ Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> ❑ ErosionControl permit <br /> BASEMENT: <br /> 0.0 1ST FLOOR: 5,149.0 + TOTAL SQUARE FOOTAGE: j (slopes,disturbance, <br /> 2ND FLOOR 3RD FLOOR: <br /> filling/access) <br /> 0.0 0.0 5,149.0 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ Q and available options. <br /> ♦ ♦ ♦ ♦ <br /> (Please round to nearest dollar) W 772,350.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes MI No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ENo IN 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 ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes QNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ -► <br /> 545-112(4/08) <br />