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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME ALLEN WOLFE <br /> oning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 1515 MULLER RD MARSHALL WI 53559 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 9207632294 JD7200JD @GMAIL.COM it-Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> ALLEN WOLFE asTq Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1515 MULLER RD <br /> (City,State,Zip) (City,State,Zip) etbackS <br /> MARSHALL WI 53559 <br /> PHONE PHONE ❑Site P proval from <br /> 9207.632294 appl. a township. <br /> E-MAIL ADDRESS EMAIL ADDRESS <br /> ilk or plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE evatlon Of property <br /> ❑PARCEL 070091218285016 RH2 5.068 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> YORK 18 _ NE 1/41/4: NE n Driv y rmi <br /> 1/4 ts x131: <br /> ADDRESS: (Stat unty,town) <br /> 1515 MULLER RD MARSHALL WI 53559 <br /> CSM: LOT SUBDIVISION I BLOCK/LOT Sanita •• mits <br /> 9038 1 , (publi • .vate) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> AND REBUILD AN EXISTING PART OF THE HOUSE O )Q oni District <br /> . ❑This project is a new building or structure. <br /> ermitted Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER:329206 •r-ss <br /> EWER JEPTIC 329206 (new -xisting) <br /> HEIGHT FEET: ij I\ NUMBER OF STORIES: (Not including basement) <br /> VI./ d — / -----2-, a •01. .-•._ oodplain/ w )J <br /> '''-'�� •�� achment '�e <br /> AREA TO NEAREST SQUARE FOOT: t, <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> ❑ Erosi ontrol rmit <br /> BASEMENT 1ST FLOOR. ,r <br /> 1 ) 4, TOTAL SQUARE FOOTAGE: 4, (sl0 es, ante, -- <br /> j — filling acce ) '�i� <br /> 2ND FLOOR. 1 3RD FLOOR: /. <br /> / ��Qf�1 <br /> al—R iew Location Survey /1 <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ $ 15000 and available optics. '� <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 ENo ❑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 QNo <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 ONo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► --► - <br /> 545-112 14/08) <br />