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SUPPLEMENT to Web-App# <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Amber & Ryan Huemmer <br /> Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 904 Lindsay Cottage Grove WI 53527 Variance(# DR-PROHIBIT) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS LAND DIVISO <br /> (608)279-5424 amber@thhtrealty.com ryan@thhtrealty.com IVSite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeanette Acker Premier Builders Inc. n/Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS `v of well/septic <br /> 102 N Holiday Drive 102 N Holiday Drive <br /> (City,State,Zip) (City,State,Zip) VifSetbacks <br /> Waunakee WI 53597 Waunakee WI 53597 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 849-6770 (608) 849-6770 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeanette@premierbuldersinc.com jeanette@premierbuildersinc.com 'Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http:l/accessdane.co.dane.wi.usn ,vi Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: W p p y <br /> JPARCEL 0711-074-9125-0 RM-16 31.47 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Cottage Grove 24 /,: NW 1/4: NE [Driveway permits <br /> ADDRESS: (state,county,town) <br /> 4282 VILAS HOPE RD <br /> CSM: LOT SUBDIVISION BLOCK/LOT V Sanitary permits 6 BED ROOMS <br /> 15,434 1 (public,private) <br /> PROPOSED PROJECT INFORMATION .1. STAFF REVIEW <br /> PROJECTDESCRIPTION:RIPnstr SFR W/5 BEDROOMS, 3 SEASON PORCH AND DECK <br /> New Home Construction Zoning District YES <br /> ✓❑This project is a new building or structure. Permitted Use? YES <br /> This project is an addition/alteration to an existing building or structure. v <br /> SANITARY SERVICE: PERMIT NUMBER: tg/Rural NEW <br /> EWER [EPTIC 13-2021-00145 (new/existing) <br /> WETLANDS EAST <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 22.0 2.0 VWetland/FloodRIR OF PFaOPERTY <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: SHL-2021-00052 <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ErosionControl permit <br /> BASEMENT: 1ST FLOOR: <br /> 3,205.0 5,639.0 4, TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, SE2021-0188 <br /> filling/access) <br /> 2ND FLOOR:880.0 3RD FLOOR: 9724 <br /> Review Location Survey NC <br /> ESTIMATED CONSTRUCTION COST: and available o tions. <br /> (Please round to nearest dollar) '♦ ♦ --0 ♦ -+ ♦ $ 870,000.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ['Yes nNo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? YES,.EA$. .S.I.QEes nNo ['Don't know <br /> 3. Have you talked with the township about your project and are they in PROPERTY c EYes No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes nNo <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) likes nNo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes No <br /> APPLICATION MUST BE SIGNED <br /> REV(01/19) (Continue on Back) -÷ -0. <br />