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ZONING PERMIT APPLICATION www.countyofdane.com <br /> 1 <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Statz Bros., Inc. A- --/ <br /> `�� Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 5707 CTY RD W,Marshall,WI 53559 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)318-0992 tstatz @statzbrothers.com 'Site Plan drawn to scale <br /> ^ <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimension A_ai AGENT NAME CONTRACTOR NAME Rebecca Merritt Statz Bros.,Inc. _t.Site Plan including locatio <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic MA/ <br /> 5707 CTY RD W 5707 CTY RD W <br /> (City,State,Zip) (City,State,Zip) 'Setbacks 75- 9 2c/'/D <br /> Marshall,WI 53559 Marshall,WI 53559 <br /> PHONE PHONE "Site Plan approval from , /� <br /> (608) 318-0992 (608) 318-0992 applicable township. e <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> rmerritt@statzbrothers.com rmerritt @statzbrothers.com 6 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property 0 <br /> •l- NT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> PAR .L 0811-104-8 2 A 400.00 .S 0 i I frontage drawn to scale <br /> NUMB - i 9 <br /> TOWNSHIP: 9 coo; SECTION: <br /> Sun Prairie 7 ((// 10 1/4. SE %A_ SE XDrivewa its <br /> AD SS: (stat COUn ,town) <br /> 5 5875 Cty Road VV - Marshall, WI 53559 <br /> Sanitary •- ••-ts <br /> cm LOT I SUBDIVISION - BLOCK/LOT (public diett <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: / r—' <br /> 1 Storage Shed-Machine V' X 6. V 2 Zoning District -/4"--A <br /> This project is a new building or structure. Permitted Use? Q a / e <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: - - - �j <br /> PERMIT NUMBER: I/�_RUral '••..-ss r <br /> DEVVER EPTIC (new Yti C t9 f <br /> HEIGHT IN FEET: NUMBER OF STORIES (Not including basement) [-g ` <br /> 26.0 to , W loodpl i J J <br /> Shoreland attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> EASEMENT: 1ST FLOOR' ErosionControl permit 'T <br /> ,l TOTAL SQUARE FOOTAGE: + (slopes,disturbance, / o / <br /> filling/access) kp <br /> 2ND FLOOR: 3RD FLOOR: 7,800.0 t <br /> Review Location Survey // <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> � <br /> (Please round to nearest dollar) -+ $ <br /> '♦-♦ ♦ ♦ ♦ 60,000.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? nYes QNo f Don't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes WINo Ei Don't know <br /> 3. Have you talked with the township about your project and are they in agreement?..._ fYes QNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [ Yes ANo <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) QYes FJNo LIDon't know <br /> 7. Is this to correct a violation? [-Yes ONo <br /> APPLICATION MUST BE SIGNED <br /> 545-112 t a> (Continue on Back) -+ -, -i <br />