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Fie n -ej 33 -- Gag 7 <br /> ZONING PERMIT APPLICATION www.countyofdan•.com SUPPLEMENT to Web-App # <br /> III <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Aspen Realty Development LLC ❑Zoning Stat UP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Re ICtion; CSM <br /> 7580 Tumbledown Trl Verona WI 53593 Variance # ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> ❑Site Plan T aa- .n to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes di- ensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeanette Acker Premier Builders Inc. ❑Site Plan ' luding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/se tic <br /> 102 N HOliday Drive 102 N HOliday Drive <br /> (City,State,Zip) (City,State,Zip) ❑Setba�ks7 <br /> Waunakee WI 53597 Waunakee WI 53597 lY���/// <br /> PHONE PHONE ❑Site Pla r a al from <br /> (608) 849-6770 (608) 849-6770 applica t ip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeanette.acker @gmail.com jeanette.acker @gmail.com ❑Floor plant 'scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑ Elevation f pr erty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ig PARCEL 0708-321-4156-0 frontage d n to scale. <br /> NUMBER r` <br /> TOWNSHIP: SECTIO Q—` <br /> Middleton 32 1/4: sw 1/41h: ne ❑Drlvew y its <br /> ADDRESS: (state c u y, own) <br /> e;( Q i'�{� �J <br /> CSM: LOT SUBDIVISION BLOCK/LOT ['Sanitary per e is <br /> 6 Aspen Meadows (public, . • ate) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home Construction ❑ Zoning i rict <br /> . 0 This project is a new building or structure. ❑ Perm t d Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMtE J t(J�`5 005 ❑ Rural Address <br /> EWER [EPTIC existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 30.0 2.0 ❑ etland/F odplain/ <br /> Shorikil ttachment) <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 /> ❑ Erosio C.•trot permit <br /> 1 ,818.0 3,426.0 4, TOTAL SQUARE FOOTAGE: 4, (slop:– +��, rbance, <br /> filling access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 689.0 5,933.0 a <br /> ESTIMATED CONSTRUCTION COST: — ❑ RevieJ� .� _tion e Ale <br /> (Please round to nearest dollar) ♦ - -+ $ 450,000.00 and t�v.- le opti. r� <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 rim) ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes ONo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes 4No <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) 1►`1;'es ❑No NIDon't know <br /> 7. Is this to correct a violation? ['Yes FANo <br /> I <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► -4 -+ <br /> 545-112(4/08) <br />