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A. A. a <br /> 1G PERMIT APPU vw CA11ON woouitycictnecom SUPPLEMENT to Web App # <br /> ZONING <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Randy& Lynn Peters <br /> 114‘ning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 1678 Esker Trail, Sun Prairie WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 608-669-7808 rlpetersl afrontier.com 1te Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Randy Marten Marten Building & Design E Bite Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> P.O. Box 64 P.O. Box 64 <br /> (City,State,Zip) (City,State,Zip) [tbacks <br /> Sun Prairie, WI 53590 Sun Prairie, WI 53590 <br /> PHONE PHONE ❑Site Plan approval from <br /> 608-212-6934 608-212-6934 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS , ,/ <br /> randyta'�,martenbuilding.com randy(a�martenbuilding.com Ei rloor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) [ Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ['PARCEL 091112101970 Al ,97 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: ',4 , ti permits <br /> Bristol 12 : ne �4'�4: <br /> ADDRESS: (state,county,town) <br /> CSM: LOT SUBDIVIS ON BLOCK/LOT Sanitary permits <br /> 57 Esker Trail (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Out Building ?-j x 3a Q5. ❑ Zoning District <br /> . 171This project is a new building or structure. <br /> LI Permitted Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER )4EPTIC (new/existing) <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> 9 /if tp. (5-- 19'-6" 1 CI Wetland/Fbodplain/ <br /> AREA TO NEAREST SQUARE FOOT: shorerand (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ ErOSionCOntro)permit <br /> 768 ,l TOTAL SQUARE FOOTAGE: ,, (slopes,disturbance, <br /> filling/access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 768 ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> - -, -' ♦ - <br /> (Please round to nearest dollar) 30,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ['Yes [ lo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ['Yes 24No ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? WiYes alo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ['Yes alo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) --v- blank if none) <br /> 6. Is a location survey required? (see reverse) tire- o ['Don't know <br /> 7. Is this to correct a violation? !` .1 es r4 0 <br /> �,U Ow u 0 APPLICATION MUST BE SIGNED <br /> 545-112(4/08) ` <br /> I��. (Continue on Back) <br />