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ZOMNG PERIVIT Am JCAT1ON V u ' SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CU.TOMER TO PROVIDE <br /> OWNER NAME <br /> Todd and Marsha Schroeder FiZ Wing Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) eed Restriction;CSM <br /> 860 Garden Dr. #63, Sun Prairie, WI 53590 ariance(# ) <br /> HOME PHONE I CELL PHONE E-MAIL ADDRESS <br /> 608-225-2201 todd.schroeder(a�kraftfoods.com • e Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION nd includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Randy Marten Marten Building & Design • S. e Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well/septic <br /> P.O. Box 64 P.O. Box 64 <br /> (City,State,Zip) (City,State,Zip) Setbacks <br /> Sun Prairie, WI 53590 Sun Prairie, WI 53590 <br /> PHONE PHONE ❑ 1 e Plan royal from <br /> 608-212-6934 608-212-6934 pplic a township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> randy(a�martenbuildinq.com randy(c�martenbuildinq.com loor plans to scale <br /> PROPERTY/LOCATION INFORMATION (hitp://accessdane.co.dane.wi.us/) fElevationofproperty PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 091119122 $ Al .8 frontage drawn to scale. <br /> NUMBER f <br /> TOWNSHIP: ()S°' 0 SEC I : /��� 1 �`i <br /> Bristol 1/4: t- 1/4/: ❑Driveway permits f v �/ <br /> ADDRESS: p� (state,county,town) <br /> f n:4,, ,LA- `' U w2 ^�i-) 0 e . Sanitary permits <br /> CSM: LOT BIVISION I BLOCK/LOT ❑ ry p <br /> 45 Norway Road Ed (public,private) <br /> PROPOSED PROJECT INFORMATION AFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Single Family New Contruction vN' f d Z At LS IN f oning District <br /> EThis project is a new building or structure. at Permitted Use? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ iiiol Address <br /> FIEWER IEPTIC existing) <br /> HEIGHT IN FEET: d i / NUMBER OF STORIES: (Not including basement) <br /> I ❑ Wetland/F dplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shorel d (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEME 1STFL0o•. ❑ ErosionContr permit <br /> 1954 3316 4 TOTAL SQUARE FOOTAGE: 4, (slopes, . urbance, <br /> fillip cess) <br /> 2ND FLOOR: 3RD FLOG' `\270 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) $ 368,953.00 r <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes 1;%:1No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes IZINo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? Zfres ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes 12]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) rives ZNo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes No <br /> L[ APPLICATION MUST BE SIGNED <br /> ` (Continue on Back) —► —► —► <br /> 545-112(4/08) <br />