Form Center

2. City of Whitewater

   312 W Whitewater Street
   PO Box 178
   Whitewater, WI 53190
   262-473-0560
   www.whitewater-wi.gov
   
   

3. Neighborhood Services

   Subdivision/Land Split Application/Certified Survey

5. Subdivision/Land Split Application Checklist (please read)

   Applicant

   1.  Fill out Planning Request Form, Subdivision Form, 
        and Plan of Operation Form.  Twelve (12) 
        copies 
        11 x 17, a digital copy of all submittal material:
         a.   Any other materials

   2.  Application shall include the following Plan requirements:
         a.  All plans shall be drawn to scale and show 
              all sides of the proposed building
          b.  All plans will exhibit property exterior 
               building materials and colors to be used
           c.  All plans will exhibit proposed/existing 
                off-street parking stalls and 
                driveway/loading docks
           d.   Building elevations must include the lot 
                 on which the structure is to be built and 
                 the street(s) adjacent to the lot

   3. Submit fee to the City of Whitewater

   City Building Inspector/Zoning Administrator

   1.  Review application for accuracy and all 
       required information

   2.  Staff will review information for conformance
        to Ordinances

   3.  Engineer will review Stormwater and Erosion 
        Control Plans
   4.  Landscape Plan will be reviewed by Urban 
        Forestry
   5.  When application is complete and approved 
         by all Staff it will then be forwarded to Plan 
         Commission

   Process

   1.   Plan Commission considers applicant's 
         review is presented by Zoning Administrator, 
         at the first initial appearance.  If Plan 
         Commission recommends changes and/or 
         revisions, then the applicant must revise site 
         plan, otherwise the matter is forwarded as is 
         for the second appearance for 
         approval/denial of the final site plan

   NOTE:  Plan Commission normally meets the second Monday of each month at 6:00 p.m. If a public hearing is required it will be scheduled at the beginning of the Plan Commission meeting.

   Llana Dostie, Zoning Specialist
   262-473-0144
   ldostie@whitewater-wi.gov

   Allison Schwark, Municipal Code Enforcement
   262-249-6701
   mcodeenforcement@gmail.com

7. CSM
8. Preliminary Plat
9. Final Plat
10. Other Information
12. Planning Request
14. General Project Information:
16. Project Tax Key #*
17. Project Address*
19. Project Title (if any)
21. Applicant, Agent & Property Owner Information
23. Applicant's Name*
24. Applicant's Company*
26. Address*
28. City*
29. State*
30. Zip Code*
32. Phone Number*
34. Email Address*
36. Agent Name
37. Agent Company
39. Address
41. City
42. State
43. Zip Code
45. Phone Number
47. Email Address
49. Owner, if different from applicant
51. Address
53. City
54. State
55. Zip Code
57. Phone Number
58. Fax Number
60. Email Address
62. 3. Planning Request (Check all that apply)*

    1. Site Plan and Architectural Review $150.00 plus $0.05 per sq. ft (Floor Area)
    2. Conditional Use Permit $275.00
    3. Rezone/Land Use Amendment $400.00
    4. Preliminary Plat $175.00
    5. Final Plat $225.00
    6. Certified Survey Map $200.00 plus $10.00 per lot
    7. Project Concept Review $150.00
    8. Joint Conditional Use & Certified Survey Map $500.00 plus $10.00 per lot
    9. Joint Rezoning & Certified Survey Map $500.00 plus $10.00 per lot
    10. Joint Site Plan & Conditional Use $350.00 plus $0.05 per sq. ft (Floor Area)
    11. Board of Zoning Appeals $300.00
64. Will translation services be needed during the Plan Board meeting?*

    1. Yes
    2. No
65. If Yes, please specify the language required.
67. Subdivision/Land Split Application & Certified Survey Application
69. 1. General Project Information
71. Project Tax Parcel #:*
72. Project Address*
74. Project Title (if any)
76. Application Type (Choose ONE)*

    1. Preliminary Subdivision Plat
    2. Final Subdivision Plat
    3. Land Division/Certified Survey Map
    4. Extraterritorial Certified Survey Map
78. If a Plat, Proposed Subdivision Name
80. 3. Specific Project Information:
82. Current Zoning District(s)*
83. Proposed Zoning District(s)*
85. Current Land Use*
86. Proposed Land Use*
88. Gross Site Area*
89. Current Number of Lots*
90. Proposed Number of Lots*
93. Plan of Operations
95. Property Information
96. Tenant Information
98. Property Tax Key #*
99. Previous Business Name*
101. Property Address*
102. Years in Operation*
104. Property Owner*
105. New Business Name*
107. Owner Mailing Address*
108. Name of Operator*
110. Owner City, State and Zip Code*
111. Operator's Mailing Address*
113. Owner's Phone Number*
114. Operator's City, State and Zip Code*
116. Owner's Email*
117. Operator's Phone and Email*
119. New Business Use/Operation Information
121. Description of Business Use or Operation*
123. Previous Use of Space*
124. Hours of Operations (Weekdays)*
125. Hours of Operations (Weekends)*
127. Total Area of Space (SQF)*
128. # Toilet Fixtures*
129. # Full Time Employees*
130. # Part Time Employees*
132. Customer Seating*

     1. Yes
     2. No
133. Seating Capacity*
134. Total Employee Hours Per Year (include yourself if self-employed)*
136. Sprinkler System*

     1. Yes
     2. No
137. Hazardous/Flammable Chemicals used/stored*

     1. Yes (must attach MSDS sheets)
     2. No
139. Specified Use of Property and Building(s)
141. Building A*
143. Building B
145. Building C
147. Will there be any problems resulting from this operation such as *

     1. Odors
     2. Smoke
     3. Noise
     4. Light
     5. Vibrations
     6. None
149. Parking
151. Dimension of Parking Lot*
152. Number of Spaces available*
154. Parking Lot Construction*

     1. Asphalt
     2. Concrete
     3. None
155. Type of Screening*

     1. Fencing
     2. Plantings
     3. None
157. Is employee parking included in "number of spaces available"?*

     1. Yes
     2. No
159. Signage (Sign Permit Application Needed)
161. Type*

     1. Free Standing
     2. Monument
     3. Projecting
     4. Awning/Canopy
     5. Electronic Message
     6. Pylon
     7. Arm/Post
     8. Window
     9. Mobile/Portable or Banner
     10. Other
     11. None
162. If other what kind
164. Location of Signs*
166. Entertainment
168. Is there any type of music in this proposal?*

     1. Yes (Separate License from Clerk's Office Required)
     2. No
170. Live*

     1. Yes
     2. No
171. When will this be offered to customers*

     1. Monday
     2. Tuesday
     3. Wednesday
     4. Thursday
     5. Friday
     6. Saturday
     7. Sunday
     8. None
173. What time(s) will this be offered*
175. Outdoor Lighting
177. Type*
179. Location*
181. Utilities
183. Will you be connected to City*

     1. Water
     2. Sewer
184. Is there a private well on-site*

     1. Yes
     2. No
185. Types of Refuse Disposal*

     1. Municipal
     2. Private
187. Approval Date by the Department of Natural Resources of the well for proposed use
189. Approval Date by the County Health Department for existing septic system
191. What types of sanitary facilities are to be installed for the proposed operation
193. Surface water drainage facilities (describe or include in site plan)
195. Licenses/Permits
197. Is a highway access permit needed from the State, County or local Municipality?*

     1. Yes
     2. No
198. Is a cigarett license required? (Separate license from Clerk's office)*

     1. Yes
     2. No
199. Is a liquor license required? (Separate license from Clerk's office)*

     1. Yes
     2. No
200. Did Wisconsin Department of Safety and Professional Services Division of Industry Services approve building plans*

     1. Yes
     2. No
202. Permitted Property Uses (Please check all that apply)*

     1. Single Family Dwelling
     2. Two Family Dwelling
     3. Modular Home
     4. Manufactured Home
     5. Second or greater wireless telecommunication facility
     6. Home occupations/professional home office for nonretail goods and services no customer access
     7. Multi-Family Dwellings
     8. Art, Music and School Supply stores and galleries
     9. Antique, collectible and hobby craft stores
     10. Automotive and related parts stores, without servicing
     11. Hotel and motels
     12. Small appliance repair stores, computer or software sales and service
     13. Banks and other financial institutions without drive-thru facilities
     14. Camera and photographic supply stores
     15. Caterers
     16. Clothing, shoe stores and repair shops
     17. Clinics medical and dental
     18. Department stores
     19. Drug stores
     20. Florist shops
     21. Food and convenience stores without gasoline pumps
     22. Furniture stores
     23. Hardware stores
     24. Insurance agencies
     25. Barbershops/Beauty Parlors
     26. Liquor stores without drive-thru faciltiies
     27. Resale Shops
     28. Professional and Business offices
     29. Self-service laundries and dry-cleaning establishments
     30. Stationery stores, retail office supply stores
     31. Movie theaters
     32. Tourist homes and bed and breakfasts
     33. Bakeries or candy stores with products for sale on premise only
     34. Applicance repair stores, including computer sales and service
     35. Coffee Shops
     36. Cultural arts centers and museums
     37. Post Offices
     38. Ice cream shops and cafes
     39. Toy stores
     40. Agricultural services
     41. Lumberyards, building supply stores and green houses
     42. Manufacturing, fabrication, packing packaging and assembly of products from furs, glass, leather, metals, paper, plaster, plastic, textiles, clay, woods and similar material
     43. Research facilities, development and testing laboratories, including testing facilities and equipment
     44. Retail sales and services linked to manufacturing or warehousing
     45. Production, or processing, cleaning, servicing, testing or remailer of materials, goods or products limited to the following uses, products components, or circumstances:
     46. a. Electronic and electrical products instruments, such as transistors, semiconductors, small computers, scanners, monitors and compact communication devices
     47. b. High technology products related to the fields of physics, oceanography, astrophysics, metallurgy, chemistry, biology or other scientific field offered for study by University of Whitewater
     48. c. Laser technology, radiology, x-ray and ultrasound products, manufacturing and assembly
     49. d. Medical and dental supplies
     50. e. Optical, fiber optical and photographic products and equipment
     51. f. Orthopedic and medical appliances such as artificial limbs, brace supports and stretchers
     52. g. Products related to process design, process stimulation, computer hardware and software development, safety engineering
     53. h. Scientific and precision instruments and components, including robotics
     54. Jewelry stores
     55. Meat markets
     56. Paint, wallpaper, interior decorating and floor covering stores
     57. Restaurants without drive-thru facilities
     58. Sporting goods stores
     59. Variety stores
     60. Charitable or nonprofit institution and facitilies
     61. Light assembly uses including electronics, pottery, printing, contractor shops (heating, electrical, plumbing, general contracting) provided that there are no significant environmental emissions (odor or waste)
     62. Catalog and e-commerce sales outlets
     63. Day Spas
     64. Gift Shops
     65. Public parking lots
     66. Tourist information and hospitality centers
     67. Dance Studio
     68. College, Universities, Schools, Churches, Libraries, Government buildings
     69. Private recreation facilities
     70. Freight terminals, trucking servicing and parking, warehousing and inside storage
     71. More than one principal structure on a lot when the additional building is a material and direct part of the primary business
     72. Pilot plants and other facilities for testing manufacturing, processing or fabrication methods or for the testing of products or materials
     73. Telecommunication centers (not including wireless telecommunications facilities)
     74. Not Applicable
204. Permitted Conditional Uses (Please check all that apply)*

     1. Planned Residential Development
     2. First Wireless telecommunication facility located on alternative structure only
     3. Attached townhouse dwellings up to four units per building
     4. Public and semi public uses
     5. Multifamily dwellings and attached dwellings, over four units (new construction only)
     6. Any building over forty feet
     7. Conversion of existing structures resulting in more dwelling units
     8. Dwelling units with occupancy of six or more unrelated persons
     9. Home Occupations/Profession Home offices requiring customer access
     10. Bed and Breadfast establishments
     11. Conversion of existing single-family dwellings to two-family attached dwellings
     12. Profession business offices in a building where principal use is residential
     13. Fraternity or sorority houses and group lodging facilties
     14. Planned Development
     15. Conversion of existing units with less than five bedrooms to five or more bedrooms
     16. Entertainment establishments, including clubs but excluding adult entertainment
     17. All uses with drive-in and drive-thru facilities
     18. Automobile repair and service
     19. Taverns and other places selling alcoholic beverages by the drink
     20. Daycare centers, adult, child and doggie
     21. Large Retail and Commercial Service Developments
     22. Motor Freight Transportation
     23. Light manufacturing and retail uses
     24. Automobile and small engine vehicle sales and rental facilities
     25. Car washes
     26. Gasoline service stations, including incidental repair and service
     27. Funeral homes and crematory services
     28. Liquor or tobacco stores
     29. Wholesale trade of durable and nondurable goods
     30. Salvage yards
     31. Not applicable
206. Signatures

     By signing below, I certify that the above information is true and accurate account of the information requested for my business site and its operation and use.  Should an inspection be required, I agree to all the Inspector(s) reasonable access to the space to verify compliance with the Municipality's Ordinance.  In addition, I fully understand that completion of this or its approval does not preclude me from complying with all applicable State Statutes or Municipal Ordinances regarding my business and its lawful operations. 

208. Applicant's Signature*
209. Date*
212. Cost Recovery Certificate and Agreement

     Pursuant to Ordinance 19.74.010 and 16.04.270 of the City of Whitewater Municipal Code

     The undersigned applicant hereby acknowledges and agrees to be bound by Ordinances 19.74.010 and 16.04.270 of he City of Whitewater Municipal Code, providing for city recovery of all city costs and disbursements incurred directly or indirectly related to the Applicant’s request. All costs incurred by the city in the consideration of any requests by the Applicant related to the Applicant’s request shall be recoverable, including by not limited to, all professional and technical consultant services and fees retained by the city and rendered in review of any application, including the engineer, planner, attorney, or any other professional or expert hired by the village for purposes of review of the application or pre-submission request. The Applicant agrees to reimburse the City for all costs recoverable pursuant to the terms of the above numbered ordinance within the time period set forth by the City of Whitewater Municipal Code. At no time shall any cost recoverable fees be waived, except through the process of a written request by the Applicant and the Common Council, review and evaluation by the Common Council, and official action taken by the Common Council.

214. PROJECT INFORMATION
216. PROJECT NAME*
218. PROJECT LOCATION*
220. APPLICANT INFORMATION
222. NAME*
224. MAILING (BILLING) ADDRESS*
226. PHONE*
227. EMAIL ADDRESS*
229. ATTORNEY INFORMATION
231. NAME
233. PHONE
234. EMAIL ADDRESS
236. SIGNATURE OF APPLICANT*
237. DATE*
239. Note to Applicant: The City Engineer, Attorney and other City professionals and staff, if requested by the City to review your request, will be billed for their time at an hourly rate which is adjusted from time to time by agreement with the City. Please inquire as to the current hourly rate you can expect from this work. In addition to these rates, you will be asked to reimburse the City for those additional costs set forth in 19.74.10 and 16.04.270 of the Municipal Code.
241. RATES

     City Administration Hourly Rate Shall Not Exceed

     Director of Economic Development: Taylor Zeinert $56.55

     Director of Public Works: Brad Marquardt $72.33

     Director of Finance: Rachelle Blitch $65.94

     Clerk: Heather Boehm $43.33

     Deputy Clerk: Tiffany Albright $29.20

     NS Administrative Assistant Llana Dostie $36.63

     Building Inspection Services

     Building Inspector Commercial: Joe Mesler $80.00

     Building Inspector Residential: Jon Mesler $80.00

     City Attorney

     Harrison, Williams & McDonell, LLP

     Attorney Jonathan McDonell $255.00

     City Engineer

     Strand and Associates $247.63

     Primary Contact: Mark Fischer

     City Planners and Zoning Administrator

     Primary Contact: Allison Schwark $49.00

243. City Use Only Below Line
246. Occupancy Classification Surrounding Units
Leave This Blank:


251. 1. Receive an email copy of this form.
252. Email address

     This field is not part of the form submission.

253. Submit

* indicates a required field