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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 /> David and Kim Dorst <br /> OWNER ADDRESS (Number,Street,City,State,Zip) ['Zoning Status; CUP; <br /> VRestriction; CSM <br /> 4324 Damascus TH.,Cottage Grove,WI 53527 <br /> Variance(# <br /> HOME PHONE CELL PHONE E-MAILADDRESS <br /> (608)515-3089 d2drums@gmail.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Josue Rodriguez, Delta Remodeling LLC ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2995 Gannon St. <br /> (City,State,Zip) (City,State,Zip) El Setbacks <br /> Madison,WI 53711 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 535-7109 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> Josue@deltaremodelingwi.com El Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accossdano.eo.dane.wi.usn ❑Elevation of property <br /> PARENT PARCEL NUMBER: CURRENTZONING: ACREAGE: <br /> ❑PARCEL 0711-083-0294-0 SFR-08 0.65 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP • SECTION:8 ❑Driveway permits <br /> Cottage Grove 1/4: NE +/4: SW <br /> ADDRESS (state, county,town) <br /> 4324 Damascus Trl. <br /> CSM: LOT SUBDIVISION BLOCK/LOT El Sanitary permits <br /> Meadow Grove Lot 14 (public, private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Build a deck on the back of the house ❑ Zoning District <br /> . ❑This project is a new building or structure. <br /> ❑ Permitted Use? <br /> ❑✓ This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: — ❑ Rural Address <br /> JEWER rEPTIC — (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 1 .5 1.0 ❑ 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: <br /> LJ <br /> permit <br /> 404.0 <br /> 4, TOTAL SQUARE FOOTAGE: j (slopes, disturbance, <br /> filling/access) <br /> 2ND FLOOR: 3RD FLOOR: 404.0 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST ♦ ♦ ♦ ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) $ 36,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Ekes QNo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Ekes ❑No ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? Ekes ❑✓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) Ekes QNo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes QNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ♦ ♦ -+ <br /> REV(01/19) <br />