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SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION O PROVIDE <br /> OWNER NAME +� � <br /> Koua and Dia Vang Zoning , A-34- <br /> OWNER ADDRESS (Number,Street,City,State,Zip) ZOning Status; CUP; <br /> eed Restriction; CSM <br /> 2919 Vang Road,Sun Prairie,WI 53590 <br /> Variance(# ) <br /> HOME PHONE I CELL PHONE E-MAIL ADDRESS ' All <br /> (608)445-8657 kouavang77 @gmail.com )! Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions //k- <br /> AGENT NAME CONTRACTOR NAME <br /> None None I i�jj�� ocation )41 4" <br /> AGENT ADDRESS CONTRACTOR ADDRESS3 Q Well/Se()iIC <br /> (City,State,Zip) (City,State,Zip) /"'C Setbacks .. °7'36/117r3--5 <br /> PHONE PHONE gsite Plan approval from A/l4 <br /> a.• '_._. .,- - • hip. l <br /> E-MAIL ADDRESS E-MAIL ADDRESS ❑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 /> ElPARCEL 0811-102-8105-6 R-3A 0.89 frontage drawn t• e. <br /> NUMBER <br /> TOWNSHIP: .SECTION: <br /> !v <br /> Sun Prairie 1 1/4: of NW 1/41/4: Sec 10 2 1 Driveway permit <br /> ADDRESS: (state,county own <br /> 6066-08 Keller Drive, Sun Prairie, WI 53590 <br /> CSM: LOT SUBDIVISION BLOCK/LOTSa�nbllary •"--•• is <br /> © I2. _ I (p <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: ff_3 L <br /> ' Zoning District ,t l[`� T <br /> t <br /> . <br /> This project is a new building or structure. 0 Permitted Use? tJ IA p icK <br /> IN This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: !� Rural A•-, s <br /> EWER PEPTIC 13,201,600,024 (ne <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 1.0 Wetland/Floodplain/ VA <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensio sift9luding unfinished area attach d arages and above grade decks or porches) <br /> BASEMENT dimensio <br /> 1 ST FLOOR: gar(slopes,disturbance,t permit <br /> 4, TOTAL SQUARE FOOTAGE: j (slopes,disr 6 / <br /> filling/access) <br /> 2ND FLOOR: 3RD FLOOR: �P <br /> ' ri Review Location Survey i <br /> ESTIMATED CONSTRUCTION COST: and available options. 4 <br /> (Please round to nearest dollar) — -* '♦ "+ .- $ 3,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? :Thies ❑✓No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes o ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? :Yes ❑NNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes a <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) Dies F;(:) [,]Don't know <br /> 7. Is this to correct a violation? [Yes o <br /> / S 170 C ,� a c c iA-- <br /> LIGATION MUST BE SIGNED <br /> 545.112(4/08) �' W 1.1 <br /> �d 1.� r (Continue on Back) -♦ -- -i <br /> Z . L- c ,. ( SS Q <br /> 6 •rases b e d vt)o / <br /> , , K'''/-tg....- <br /> / I 1 v■ t isi teo,„ NA,. <br />