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WNW APPUC TION da con SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Aaron & Laura Schauer <br /> n Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 3031 Midnight Sun Dr, Sun Prairie, WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 608-445-8005 aaron@martenbuilding.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> .tt n., Marten Building & Design El 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 ❑Site Plan approval from <br /> 608-212-6934 608-212-6934 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> randylmartenbuildinq.com randy(c�martenbuildinq.com Elrloor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P P rty <br /> ❑PARCEL 091119445670 A-1 .789 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Bristol 19 1/4: SW 1/a1/a: SE lid Driveway permits <br /> ADDRESS: �q�� OSLO � (state,county,town) <br /> CSM: LOT SUBDIVISION BLOCK/LOT Lid Janitary permits \ -i f <br /> 7 Lehman's Addtigj 7 (public,private) YO"'' <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: / <br /> Single Family New Contruction . Zoning District <br /> ZThis project is a new building or structure. Ly Permitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ' ❑ Address <br /> FIEWER IEPTIC 13-2016-00049 -xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 21'-5" 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: <br /> ❑ ErosionControl permit <br /> 2,276 3,865 4, TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: <br /> filling/access) <br /> 6,141 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) $ 461,829.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ZNo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? [ Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes mNo <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) IJYes ❑No ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes WiNo <br /> S--.' APPLICATION MUST BE SIGNED a C 545-112 laioel <br /> (Continue on Back) -► • -+ <br />