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7.7v-k & p <br /> 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 /> ❑Zonin t us;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Dee fiction; CSM <br /> P O Box 1103 Sun Prairie Wi 53590 Vari ( ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS e <br /> (608)235-4371 (608)235-4371 danieljwaldner @yahoo.com El Site Plan drawn to scale v,Ifi' <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions t <br /> AGENT NAME CONTRACTOR NAME <br /> Dan Waldner Waldner Construction Inc ❑Site Pla in ing location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/ is <br /> Same as contractor P 0 Box 1103 <br /> (City,State,Zip) (City,State,Zip) ❑Setb <br /> Sun Prairie Wi 53590 <br /> PHONE PHONE ❑Site PI 94 roval from <br /> (608) 235-4371 applic o nship. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> danieljwaldner @yahoo.com ❑ Floor plans tvea(e <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑Elevationroperty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 081002204520 A-1 0.47 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town Of Burke '/a: '/1/4: ❑Driveway ermi <br /> ADDRESSb�Z (state,cou own) <br /> a'Gehrke Circle Sun Prairie Wi 53590 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary •- its <br /> 42 (public,(public ,,j' <br /> Gehrkes Knoll <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home ❑ Zoning Ict <br /> . 0 This project is a new building or structure. ❑ Permittr Jse? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMB: ,40-10/WAA ".-.- ral Address <br /> - • 46 existing) <br /> EWER [EPTIC <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 28.0 2.0 ❑ Weti. •'plain/ <br /> Sho 24 •A= -* ment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ Erosio •' trol permit <br /> BASEMENT: 1ST FLOOR: TOTAL SQUARE FOOTAGE: (SIO• ii-ti * , <br /> 1,260.0 2,277.0 1 . <br /> filli et ) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 918.0 0.0 4,455.0 ❑ Revie ;4. urvey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ $ 325 000.00 and ava .;,_ • •• .. <br /> (Please round to nearest dollar) , <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Dies ✓rio ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes E\lo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? plies 'lo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes ✓INo <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) ❑✓Yes ao ❑Don't know <br /> 7. Is this to correct a violation? :Yes ['No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) - -+ -► <br /> 545-112(4/08) <br />