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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME SCOTT J. AND CHERYL A. WILSON <br /> ❑Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 2824 DOROTHY DR. MADISON, WI 53711 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)575-7790 scwilson @wilsonwoodcraft.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> WILSON WOODCRAFT INC. ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2824 DOROTHY DR <br /> (City,State.Zip) (City.State,Zip) p Setbacks <br /> MADISON, WI 53711 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 575-7790 applicable township. <br /> E-MAIL ADDRESS E-MAI L ADD R ESS <br /> scwilson @wilsonwoodcraft.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 028/0610-071-8360-0 RH-1 2.31 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: ❑Driveway permits <br /> TOWN OF DUNN 7 NE /"�/4 NE (state,county,town) <br /> ADDRESS: 2836 DOROTHY DRIVE MADISON, WI 53711 <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 10,789 789 4 ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION ST -'. Review <br /> PROJECT DESCRIPTION: <br /> NEW STORAGE BUILDING El Zoning District <br /> . Fd This project is a new building or structure. (I Permitted Use? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: C] RuratAddress <br /> EWER FIEPTIC (new/existing) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> 27.0 1.0 ❑ Wettand/Floodpiain/ <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) 1--1 <br /> BASEMENT: 1ST FLOOR: 1,.,1 ttASionCon ipermit <br /> 2,800.0 4, TOTAL SQUARE FOOTAGE: ,, (slopes,disturbance, <br /> fitting/access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 2,800.0 <br /> V U Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) ♦ "� ♦ ♦ ♦ ♦ $ 22,000.00 <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 19No ['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 rANo <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 rNo ['Don't know <br /> 7. Is this to correct a violation? [Yes al No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ -► -► <br /> 545-112 larosl 1 0 <br />