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' . TV2f207z00682- <br /> h:<r vvN DANE COUNTY Jri Cr'ool< 41+4-- 48 q&f <br /> ''! ,"1` ZONING PERMIT APPLICATION WWW.DANECOUNTYPLANNING.COM <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Ryan & Michelle Strohm Zoninc Sta ; CUP; <br /> ts OWNER ADDRESS (Number,Street,City,State,Zip) Deed �S ri fiction; CSM <br /> 1110 Feather Edge Drive Verona WI 53593 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)712-3316 (608)212-1758 strohmrt12 @gmail.com 12 Site PI�n�wn to scale <br /> AGENT INFORMATION i CONTRACTOR INFORMATION and incFGdes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jason Thomas Homes LLC <br /> Q Site PI n i udin 9 location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/ ptic <br /> 7521 Hubbard Ave <br /> (City,State,Zip) (City,State,Zip) ES stpistcks <br /> Middleton WI 53562 V <br /> PHONE PHONE ' ISI Site PI1�n� "o0 from <br /> E-MAIL ADDRESS E-MAIL ADDRESS (608) 203-5592 appligAplynship. <br /> michelle @jasonthomashomes.com 0 Floor�pla7 o scale <br /> PROPERTY/LOCATION INFORMATION (http:l/accessdane.co.dane.wi.us/) Elev tion property <br /> 0 PARCEL <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P P y <br /> NUMBER V O■ e 0 6 121D 310 MFR-08 1.79 front .drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Town of Verona 6 1/4: SE <br /> 1/4: NE 131 Drivew.y . its <br /> ADDRESS: (state, 4,.4 nty,town) <br /> r i Lot 20 Fox Hill Trail Verona WI 53593 _ p Sanitary permits <br /> LOT 20 Fox Hill BLOCK/LOT (public, private) ii• <br /> PROPOSED PROJECT INFORMATION <br /> STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Single family residence ❑ Zoning ttyicf <br /> is This project is a new building or structure. ❑ Permitt�d�lee? <br /> ❑This project is an addition/alteration to an existing building or structure. V <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER PEPTIC 13,202,200,249 r> w fisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 23.5 2.0 ❑ Wetl.•o ..plain/ <br /> Sho : , :--chment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: p 1ST FLOOR: ❑ ErosionControl permit <br /> 2ND FLOOR:2,388 3RD FLOOR:3,88 1 TOTAL SQUARE FOOTAGE: j (slopes,disturbance, <br /> filling/access) " ,/� <br /> 1,210 7,479 ❑ Review L a i. Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ dd V____ and avail •. ens. <br /> (Please round to nearest dollar) $ 798 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Oyes ✓iNo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Oyes go ODon't know <br /> 3. Have you talked with the township about your project and are they in agreement? ✓QYes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes a <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) Oyes ac, ODon't know <br /> 7. Is this to correct a violation? ❑Yes Qnlo <br /> Ion ,T U APPLICATION MUST BE SIGNED <br /> -4. ♦ <br /> REV(0+/18) (Continue on Back) - - —to <br />