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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 /> Waldner Construction Inc oning Status;CUP; <br /> ■ OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> P 0 Box 1103 Sun Prairie W 53590 <br /> Vari (# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)235-4371 (608)235-4371 danieljwaldner @yahoo.com ite Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Dan Waldner Waldner Construction Inc ❑S. PI . cluding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of s tic <br /> P O Box 1103 P O Box 1103 <br /> (City,State,Zip) (City,State,Zip) etbacks <br /> Sun Prairie WI 53590 Sun Prairie WI 53590 <br /> PHONE PHONE ❑Sit approval from <br /> (608) 235-4371 (608) 235-4371 plica a township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> danieljwaldner @yahoo.com danieljwaldner @yahoo.com Illperplans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) e atlOn of r0 <br /> PARENT PARCEL NUMBER: CUR NTZONIN : ACREAGE: property <br /> rty <br /> ❑PARCEL 0910-293-6645-0 / 0.32 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: Way mits <br /> Town Of Windsor '/4: %a%a: II IP <br /> ADDRESS: state, • killi <br /> 999?? 43 cis Scenic Veiw Road <br /> PI <br /> CSM: LOT 95 SUBDIVISION BLOCK/LOT Sa ' =ry permits <br /> Prairie Creek •rivate) <br /> PROPOSED PROJECT INFORMATION 'T' F REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home Construction r - ing District <br /> . 0 This project is a new building or structure. fitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVI2:: PERMIT NUM/B1ErR::�■4. ❑ ,►1+1:_ Address <br /> ',r R rEPTIC '7 Q"1 V (new • i. V a) <br /> HEIGHT IN F T NUMBER OF STORIES: (Not including basement) <br /> 1.0 ❑ we i,„ 1 ... • .,'n/ <br /> Shore(-.0' - ` •chment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 1ST FLOOR: ❑ Erosl+' +yui`+ permit <br /> 1,844.0 2,917.0,917.0 +. TOTAL SQUARE FOOTAGE: 4, (Slopes, . - 1. :rice, • <br /> 2ND FLOOR: 3RD FLOOR: flu • .w:-...) ` <br /> 0.0 0.0 4,761.0 Review Location Suave <br /> ESTIMATED CONSTRUCTION COST: vable <br /> (Please round to nearest dollar) —• —' —' —' ♦ —• $ 245,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ['Yes EINo ❑Don't k .1101" <br /> 2. Is there a wetland or floodplain on or near the property? [Yes 'lo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes Elo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dies ON° <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) , Dies EINo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes Jo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4/08) <br />