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ZONING PERMIT APPLICATION www.countyofdane.com F:=1:12215C1 <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Bret LaBuwi <br /> OWNER ADDRESS (Number,Street,City,State,Zip) _ D Zoning S;CUP; <br /> teed R friction;CSM <br /> 2995 Midnight Sun Dr <br /> Variance(# ) <br /> HOME PHONE I CELL PHONE E-MAIL ADDRESS <br /> (608)825-2141 1 (608)443-6097 bret @myfcis.com Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Patio Pleasures D Site Plan in ding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of wet is <br /> &W. W.NA$ 9i <br /> (City,State,Zip) (City,Stale,Zip) D Setpc re <br /> Sun P .ire WI 53590 �/ <br /> PHONE PHONE D Site Pi t ,:v al from <br /> S2 - ( ,lOO appli . nship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS Floor pla scale <br /> rthGli\V. •n —44 5.nth-- i <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation f <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE. <br /> ❑PARCEL A2'1 uq 11-14 1-Z224- 4—I . /1 frontage f: •' • scale. <br /> NUMBER <br /> TOWNSHIP: SECTION. <br /> Town of Bristol 1/4: %%IA ❑Drivew. a tS <br /> ADDRESS (state, a'r wn) <br /> 2995 Midnight Sun Dr <br /> CSM LOT SUBDIVISION BLOCK/LOT ❑Sani - 1. lits <br /> 41 Norway Estates (pub,, . .r <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> I-+-1 GR.+o V 7-'6. S..a,...41..._t..)k_ ---P0a L. I I t V 32. ❑ Zoning f d <br /> et <br /> . DThis project is a new building or structure. ❑ Permit,4 Use? <br /> This project is an addition/alteration to an existirg building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER. ❑ RuralAddress <br /> EWER IEPTIC { f/e10 <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> ❑ Wetla/• • air! <br /> AREA TO NEAREST SQUARE FOOT: ShOr ,��� � <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ Erosio O of permit <br /> BASEMENT: 1ST FLOOR:. - 2.... # TOTAL SQUARE FOOTAGE: 4, (sf•,;-e ..n •.rice, <br /> fifli . . «:-.,. <br /> 2ND FLOOR 3RD FLOOR: I <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ $ and available options. <br /> (Please round to nearest dollar) « <br /> 1. The property is within 300 feet of a stream or 100 feet from a pond or lake? Dyes ao jDon't know <br /> 2. Is there a wetland or floodplain on or near the pro erty? Dyes I:1\10 DDon't know <br /> 3. Have you talked with the township about your pro ect and are they in agreement? E Yes ao <br /> 4. Has there been a zoning permit issued for this pr perry in the past 5 years? Dyes alo <br /> 5. Is this project associated with a rezone/CUP/varia ce(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) [ les Elio ['Don't know <br /> 7. Is this to correct a violation? iJYes jlo <br /> 0 C, i( d( i'1.� CU1C-f ° < 1 <br /> , APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► -► —► <br /> 545-112(4108) <br /> 7-). 1- 7-\'°-e I --r. <br />