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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNNR,INFORMATION; . , CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Rachel and Dan Madden ❑Zoning Sta ; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed R triction; CSM <br /> 2440 Trevor Way Madison WI Variance(# ) <br /> HOME PHONE CELL PHONE E-MAILADDRESS <br /> (715)572-5387 rachelelizabethmadden@gmail.com ❑Site Plan drawto scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includ dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Acker Builders, Inc Acker Builders, Inc ❑Site PlayI c dig location <br /> E <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/ ,ti <br /> 331 E Main St Ste 104 331 E Main St Ste 104 <br /> (City,State,Zip) (City,State,Zip) ❑Setts <br /> Waunakee WI 53597 Waunakee WI 53597 <br /> PHONE PHONE ❑Site Plan ap ro al from <br /> (608) 850-6650 (608) 850-6650 applicabliip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> brittney.jackson@ackerbuilders.com brittney.jackson@ackerbuilders.com ❑ Floor plans to scale <br /> PROPERTY/LOCATION IN FORMATION: (httpalaccessdane.co.dane.wi,usl) • LI Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARMBERCEL O DIC)g-292_y.3-1.r_ 5 04 r 8 51 frontage drawn to scale. <br /> NU <br /> TOWNSHIP: CT <br /> Town of Middleton 1/4: '/4: Driveway permits <br /> ADDRESS: D (state, county,town) <br /> 43, Nct t tI 3 let /2.4lkfSanitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT �I <br /> 90 Pioneer Pointe l� ic,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> new residential construction ❑ Zoning P4 rict <br /> • <br /> This project is a new building or structure. ❑ Perm ,llse? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT,NUMBER: - ❑ Rural Address <br /> [WER [EPTIC1/existing) <br /> HEIGHT IN FEET: I NUMBER OF STORIES: (Not including basement) <br /> 2` #1°. ❑ Wetl oodplain/ <br /> Shorratttachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> ❑ Erosl n o trot permit <br /> BASEMENT: <br /> 1 ,617.0 ✓ 1ST FLOOR: 3,351 .0 jTOTAL SQUARE FOOTAGE: 4, (Sio d bance, • <br /> 2ND FLOOR: 3RD FLOOR: fllll iaC, 8 <br /> 912.0 <br /> RThe, ,,-.. `,[rdin voi--' <br /> ESTIMATED CONSTRUCTION COST: -+ -► ' ❑ a dlptl{ <br /> (Please round to nearest dollar) -► $ 899,999.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ❑✓No Dont know <br /> 2. Is there a wetland or floodplain on or near the property? Efres El. ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? [fres No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ❑✓No <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) �.k es 2to ['Don't know <br /> 7. Is this to correct a violation? ❑Yes QNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► —► -+ <br /> REV(01119) <br />