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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Zachary Moran ❑Zoning Status. P; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Res ' tion; CSM <br /> 3391 CR-J,Cross Plains,WI, 53528 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (310)890-7800 zdmoran@gmail.com ❑Site Plan ra to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includ dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Zachary Moran Zachary Moran U Site Plan ' Ining locatio <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/se 'w r` <br /> 3391 CR-J 3391 CR-J <br /> (City,State,Zip) (City,State,Zip) ❑Setb <br /> Cross Plains,WI,53528 Cross Plains,WI,53528 <br /> El Site Pla ap r al from <br /> PHONE (310) 890-7800 PHONE (310) 890-7800 applica I s p. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> zdmoran@gmail.com zdmoran@gmail.com n Floor p144 to scale <br /> pa:T.»4a111IK ia_titel:E1:11•1:1MAi[• :� }r I M,�Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: Elevation <br /> ntage drawn t0 scale. <br /> ❑PARCEL 0707-362-9185-0 ural I�rti 6 20.00 <br /> NUMBER <br /> TOWNSHIP: SECTION: ❑Drive y mltS <br /> Cross Plains '/4 1/4 (state„town) <br /> ADDRESS: 3391 CR-J <br /> ❑Sani rmits <br /> CSM: LOT SUBDIVISION BLOCK/LOT (pub i p rte) <br /> PROPOSED PROJECT INFORMATION STAFF EVIEW <br /> PROJECT DESCRIPTION: <br /> Recessed Geothermal Greenhouse a % ❑ Zoningissttrriict <br /> ['This project is a new building or structure. ❑ Permitteb Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Addr- <br /> EWER REPTIC (new/e ' ting <br /> HEIGHT IN FEET: i NUMBER OF STORIES: (Not including basement) <br /> 10.0 1.0 ❑ wetlallpodplain/ e <br /> Shore �/�C+..�-chment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ ErosionControl permit <br /> BASEMENT: 1ST FLOOR: O I urbance, <br /> 1 ,600.0 4, TOTAL SQUARE FOOTAGE: 4, (slop , <br /> filling <br /> 2ND FLOOR: 3RD FLOOR. <br /> 1 ,600.0 <br /> ❑ Revie Lglc ion Survey <br /> ESTIMATED CONSTRUCTION COST: $ 75 000.00 and afeptions. <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 I o ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [tees ao ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ['Yes [IN0 <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes EINo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) <br /> (leave blank if none) <br /> 6. Is a location survey required? (see reverse) Elves EINo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes Jo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ♦ -► <br /> REV(01/19) <br />