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ZONNG PERIVIT CATION e. 1 SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Steve & Mary Meyer <br /> ❑Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 880 Blaser Court, Sun Prairie, WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 608-837-4032 608-438-7539 steve.meyerafrontier.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Scoff- ry-ziy Marten Building & Design ❑Site 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) ❑Setbacks <br /> Sun Prairie, WI 53590 Sun Prairie, WI 53590 <br /> PHONE PHONE <br /> ❑Site Plan approval from <br /> 608-212-6934 608-212-6934 applicable township. <br /> E-MAIL E-MAIL ADDRESS <br /> amartenbuilding.com randyCa)_martenbuilding.com ❑ Floor 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 091112101420 A-1 .777 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> BRISTOL 14: wy4: Driveway permits <br /> ADDRESS: _ (s e,county,town) <br /> I -El,e,r IKi <br /> Sanitary .e . <br /> CSM: LOT 52 SUBDIVISION BLOCK/LOT Drumlin Creek (public, .rivate) <br /> PROPOSED PROJECT INFORMATION STAFrEW <br /> PROJECT DESCRIPTION: <br /> Single Family New Contruction Zoning District <br /> \. This project is a new building or structure. Ei Permitted Use? <br /> ['This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: '..(•'C- Address <br /> DEWER JEPTIC 13-2015-00383 CV,-xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 19'-6" 1 Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ErosionControl permit <br /> 1494 2777 ,, TOTAL SQUARE FOOTAGE: , (slopes,disturbance, <br /> filling/access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 4271 <br /> Li Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: -• ♦ ♦ ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) $ 274.570.42 <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 /> ' <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes Jo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? l7fres Dlo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dies [f'o <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) ` 4Yes Olo ❑Don't know <br /> 7. Is this to correct a violation? Dies Oslo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -i -i -► <br /> 545-112(4/08) <br />