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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CU • OMER TO PROVIDE <br /> OWNER NAME <br /> Eric & Jody Schutt <br /> a f o ing Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) D ed Restriction;CSM <br /> 2359 Hwy 51 McFarland WI 53558 - V ri nce(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)239-9656 ericschutt@aol.com ❑Sit Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION n includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Recreational Concepts Inc Recreational Concepts Inc ❑Si Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of ell/septic <br /> 121 N Main St 121 N Main St <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Oregon WI 53575 Oregon WI 53575 <br /> PHONE PHONE ❑Site Plan proval from <br /> (608) 835-2780 (608) 835-2780 applica a to hip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> recconinc @ymail.com recconinc @ymail.com ❑Floor ans to sc le <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) 1=1 Elevation property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> 0 NUMBER 028/0610-221-8500-9 A-1 r^ ( 4.34 fronts drawn to scale. <br /> TOWNSHIP: SEGO <br /> Dunn ,�V) �/• N � �/a�/• Nvj El Drive ypermits <br /> sta , county town <br /> ADDRESS: 2359 Hwy 51 McFarland WI 53558 ( ) <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanita private) <br /> pu 'c, private) <br /> PROPOSED PROJECT INFORMATION ( STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> 20 x 40 in ground swimming pool 'oning District <br /> . t2 This project is a new building or structure. • Permitted Use? <br /> ['This project is an addition/ teration to an existing building or struc re. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural ' $dr - <br /> FIEWER PTIC l (new/e tins <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> ❑ Wetland/F plain/ <br /> Shorelan attach t) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area attached g1rages and above grade decks or porches) <br /> BASEMENT 1 ST FLOOR: a <br /> (VJ ❑ ErosionCont permit <br /> 4, TOTAL SQUARE FOOTAGE: 4, (slopes,d urbance, (■` <br /> 2ND FLOOR: 3RD FLOOR: 8C) filling/a ss) <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ -► --► ..+ -i ♦ $ 7c,oOO and available options. <br /> (Please round to nearest dollar <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes o 12 Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes o in Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? [Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes DI <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank none) <br /> 6. Is a location survey required? (see reverse) Ekes o MI Don't know <br /> 7. Is this to correct a violation? [Yes ✓No <br /> 1 0 ♦ -♦APPLICATION MUST BE SIGNED <br /> 545-112(4/08) <br /> U ' (Continue on Back) -∎ <br />