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61---- aresev-- <br /> ZONING PERMIT APPLICATION www.counane 6 <br /> :w 'p• <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME E80 Real Estate, LLC <br /> ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 7120 Patton Rd,Deforest,WI 53532 � <br /> (� + 20-7 Variance(# ) <br /> HOME PHONE CELL PHONE L,b CJ E-N((\AILADDRESS <br /> (:•:)846-6310 •.: 846-6399— tpfeil@e80plus.com ❑✓ Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME e. CONTRACTOR NAME <br /> Tim Pfeil Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7120 Patton Rd <br /> (City,State,Zip) (City,State,Zip) 0 Setbacks <br /> Deforest,WI 53532 <br /> PHONE PHONE 0 Site Plan approval from <br /> (888) 846-6310 applicable township. <br /> i. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> tpfeil@e80plus.com 0 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑Elevatio f operty <br />° PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 0909-222-9101-0 Heavy Commercial 15.01 frontage wn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> • <br /> Vienna 22 1/4: NW 1a: NW 111 Driveway permits <br /> ADDRESS: (state, county,town) <br /> 7120 Patton Rd <br /> CSM LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> t <br /> o , t 1 (public, private) 4eti 47:51 <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: ` <br /> Cold Storage Building I�2�s3 ./lo% Zonin StrlCt <br /> ✓❑This project is a new building or structure. ❑ Permi e se? <br /> 1 <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER [EPTIC (newle alga <br /> HEIGHT IN FEET: r NUMBER OF STORIES: (Not including basement) <br /> maw 16.01.0 J Wetland/FI od I in/ <br /> AREA TO NEAREST SQUARE FOOT: reland t ent) <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) —�' <br /> BASEMENT 1ST FLOOR: <br /> ❑ ErosionControl Dermit 7 <br /> 0.0 8,466.0 + TOTAL SQUARE FOOTAGE: j (slopes,disturbance, <br /> filling/acce <br /> 2ND FLOOR: 3RD FLOOR: <br /> 0.0 0.0 8,466.0 <br /> ❑ Review o on Survey <br /> ESTIMATED CONSTRUCTION COST: and av I l ons. <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ ♦ ♦ $ 165,338.00 <br /> n <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? fres UNo EDon't know A 9) <br /> 2. Is there a wetland or floodplain on or near the property? [fres ❑No ['Don't know <br /> I 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 OW <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) [fres QNo ❑Don't know <br /> 7. Is this to correct a violation? EYes ❑✓No <br /> ter coerae <br /> APPLICATION MUST BE SIGNED <br /> REV(01/19) 111111 V't 2 1 d 6 2. k (Continue on Back) <br /> kitC)& r7e4-e‘i c�Y <br />