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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Viking Village Campgrounds & Resort, Inc. <br /> III Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 1648 County Road N,Stoughton,WI53589 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)873-6601 sherryleesweeney @gmail.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Ramaker&Associates,Inc. Nelson Building Services, LLC ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 855 Community Drive 648 Taylor Lane <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Sauk City,WI 53583 Stoughton,WI 53589 <br /> PHONE PHONE <br /> El Site Plan approval from <br /> (608) 643-4100 (608) 220-9113 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dmatzke @ramaker.com nelsonbuilding @gmail.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑Elevation of property <br /> ❑PARCEL 046/0611-334-8221-9 RE-1 DEPREZ-0000-02186 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Pleasant Springs 33,611 1/4: SE %+/4. ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 1648 County Road N, Stoughton, WI 53589 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION 3 d 15 IZAv_I_4�Zir <br /> PROJECT DESCRIPTION: <br /> ■new 12'x14'pool equipment building. J' i cJe1I C Dfl14i14t <br /> This project is a new building or structure. 't=ia�,ilit .®, ;,, <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER "^ tf ]!,rl.li�4- <br /> EWER PTIC (:ei. ;1(aa), 1 t.9 , <br /> HEIGHT IN FEET / NUMBER OF STORIES: (Not including basement) <br /> Z •.C' 1.0 *Li I .r of iFiri).f/ rae4,1 Mof ., <br /> eil 01Lifi1i,..Itt+ titer <br /> AREA TO NEAREST SQUARE FOOT <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) .- i,o. y_ o i <br /> BASEMENT: 1ST FLOOR: <br /> 168.0 j TOTAL SQUARE FOOTAGE: j AI t. t! i <br /> 2ND FLOOR: 3RD FLOOR: <br /> 168.0 <br /> . f,,-,4 l_-��'140�Yi1A y <br /> ESTIMATED CONSTRUCTION COST: r1lit` �� 11F1 ,).i`- liC <br /> (Please round to nearest dollar) ♦ ♦ ♦ ♦ -► ♦ $ , ,,(c � <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ✓❑NO ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ON° ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes DINo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ✓❑No <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) Elves 'lo ['Don't know <br /> 7. Is this to correct a violation? ['Yes ✓❑Plo <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) -9 -► <br />