Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION <br /> CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> John Whitley <br /> ------ <br /> i Q Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 2820 Allegheny Dr., Madison,WI 53719 Variance(# ) <br /> HOME PHONE 1 CELL PHONE E-MAIL ADDRESS <br /> (608)333-1698 1 (608)206-2061 John@WhitleyJ.com Q�te Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION end includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Owner Q Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> (City,State,Zip) (City,State,Zip) Q Setbacks <br /> .' <br /> -PHONE PHONE ElS,jte Plan-approval from <br /> ,appi.cable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS / i `/ <br /> IDdoor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.whus/) (� <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: u Elevation of property <br /> PARCEL 0608-124-8070-3 frontage drawn;to scale. <br /> NUMBER TFR-08 0.91 9 <br /> TOWNSHIP: J(Y. /\‘l + <br /> SECTION: <br /> Verona-TO6NRO8E 12 1/4: -:NE 1/4: , n Drivewaypermits <br /> ADDRESS, 2820 Allegheny Dr Ssta,;•county,town) <br /> A. <br /> Fl <br /> CSM: 'LOT SUBDIVISION BLOCK/LOT Sanitary permits <br /> (public,private) e <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Tuff Shed- 16x20 Storage Shed 1 R —S00 121 Zoning District <br /> - ❑✓ This project is a new building or structure. ❑ Permitted Use? <br /> fThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: , - U Rural Address <br /> EWER FIEPTIC (new/existing) <br /> HEIGHT IN FEET: I NUMBER OF STORIES: (Not including basement) <br /> 11.0 I 1.0 U Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT 1ST FLOOR: ❑ ErosionCo9tro1'permit <br /> 0.0 320,0 <br /> 4, TOTAL SQUARE FOOTAGE: + (slopes,disturbance, <br /> filling/access) <br /> 2ND FLOOR:0.0 3RD FLOOR:0.0 320.0 <br /> -- — _ ❑ Review Location Survey (-2.,S <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> ♦ ♦ —* ♦ ♦ ♦ <br /> (Please round to nearest dollar) $ 7,892.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? nYesJo fDon't know <br /> 2. Is there a wetland or floodplain on or near the property? nYesInfl o fDon't know <br /> 3. Have you talked with the township about your project and are they in agreement'? XnYes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ENo <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) E]Yes 'Jo QDon't know <br /> 7. Is this to correct a violation? f Yes No <br /> I ` r APPLICATION MUST BE SIGNED <br /> REV(01r19) �'f .. , (Continue on Back) —6. --r <br /> I <br />