Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Waldner Construction Inc <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Z Ing Status; CUP; <br /> 6692 Covered Bridge Trail Sun Prairie Wi 53590 eed..----%Restriction; CSM <br /> HOME PHONE CELL PHONE ariance(# ) <br /> E-MAIL E-MAILADDRESS <br /> (608) 235-4371 (608)235-4371 danieljwaldner©yahoo.com Sites drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION nd includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Daniel Waldner Same as Property Owner \,of SPlan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS well/s ptic <br /> Same as Property Owner <br /> (City,State,Zip) (City,State,Zip) ©S acks <br /> PHONE PHONE D Site' pproval from <br /> ap� township. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> �Yoor pl ns <br /> to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: vation of property <br /> DPARCEL 0911-193-0144-0 frontage drawn to scale. <br /> NUMBER Al 42,920.00 9 <br /> TOWNSHIP: SECTION:• <br /> 0 CS Parker Pass �Town Of Bristol /: /4/4: Drivewa its ( ' <br /> ADORES <br /> / (state, c ty,town) . <br /> CSM: LOT SUBDIVISION BLOCK/LOT S itary •- its <br /> 14 Parker,s Place publi. prin _ Liz <br /> PROPOSED PROJECT INFORMATION ST FF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home !,, //total, <br /> Z in strict <br /> 0 This project is few building or structure. P <br /> fitted Use? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PER NUMBER: !'� 'ddress <br /> EWER [EPTIC ( J^ Q)S '"/o�} c9 'isting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> (--s -MOO 1.0 ❑ Wetlan• I••• • ain/ <br /> AREA TO NEAREST SQUARE FOOT: Shore - • attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 1ST FLOOR: ❑•Etosion∎-• Ol permit <br /> 1,915.0 3,011 .0 4 TOTAL SQUARE FOOTAGE: 4 (slope • turbance, <br /> 2ND FLOOR:0.0 3RD FLOOR:0.0 <br /> 4,926.0 full•'!'CCeS <br /> Q. -eview on Survey <br /> ESTIMATED CONSTRUCTION COST: - ♦ ♦ --► -+ -+ an i le option v---------,, <br /> ---� <br /> (Please round to nearest dollar) $ 310,000.00 <br /> 1 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? DYes �lo DDon't nov��7 <br /> 2. Is there a wetland or floodplain on or near the property? DYes Olo DDon't khpw„___,/ <br /> 3. Have you talked with the township about your project and are they in agreement? D✓Yes EiNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? DYes EJNo <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) D Yes Jo ['Don't know <br /> 7. Is this to correct a violation? DYes EINo <br /> APPLICATION MUST BE SIGNED <br /> 54e-112(4/08) (Continue on Back) <br />