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SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Timothy Wetter <br /> OWNER ADDRESS (Number,Street.City,State,Zip) &Zoning Status;CUP; <br /> V Restriction; CSM <br /> 3215 Conservancy Estates Lane, Sun Prairie, WI 53590 <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)837-2898 (608)556-7075 tcwetter @charter.net )' Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Performance Exteriors&Contracting Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> P.O. Box 86 >�Setbacks 0°406 <br /> (City,State,Zip) (City,State,Zip) <br /> Stoughton WI 53589 <br /> PHONE PHONE I Site Plan approval from /' <br /> (608) 576-6444 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> Ef Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> Zlevation of r0 e /� <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: p p <br /> 0 PARCEL 0810-251-0249-0 A-1 0.75 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTIO <br /> TOWN OF BURKE 2 5 1/4: N '/1/4: L- Z.zriveway permits <br /> (state,county, <br /> ADDRESS: <br /> 3215 Conservancy Estates <br /> O ; <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary :- •u <br /> 14 39 BURKE CONSERVANCY ESTATES (pu bl i•d <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> Garage Addition ON: 3 0 X / "A/^ A�� � c 4 y g iJ �/ <br /> Gara a Addition 7 Zonin District /,�[/[ <br /> . ❑This project is a new building or structure. ,Permitted Use? A- CS <br /> INIThis project is an addition/alteration to an existing building or structure. G k <br /> SANITARY SERVICE: PERMIT NUMBER: gRural • -,; <br /> EWER [EPTIC (n.�Y�ii�+�++'"' <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 24.0 g w,-..r loodplain/ <br /> itiGq <br /> 4iiir ii • (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attache garages and above grade decks or porches) `/ <br /> BASEMENT: 1ST FLOOR: ErosionControl permit /V <br /> y�� ,l TOTAL SQUARE FOOTAGE: +, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: 11,V filling/access) <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: Q and available options. <br /> (Please round to nearest dollar) -► ♦ -+ —• —• ♦ $ 45,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes ato ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes EN ['Don't o Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? 3Yes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? E Yes ✓ Jo <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) QYes ✓�10 QDon't know <br /> 7. Is this to correct a violation? QYes ✓E 'o <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4/08) <br />