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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Jason Kratz (j1 Zoning Status;CUP; 4 / <br /> OWNER ADDRESS (Number,Street,City,Slate,Zip) I eed Restriction; CSM <br /> 7157 Pfeil Bend,Sun Prairie,WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAILADDRESS <br /> (608)514-6777 (608)217-0461 jason.kratz@amerhart.com 11 Site Plan drawn to scale -r <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions , �� <br /> AGENT NAME CONTRACTOR NAME (�/ <br /> Jason Kralz Site Plan including location r <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7157 Pfeil Bend e3°/.. ..6 , 2 •/` <br /> (city,Stale,Zip) (City,State,Zip) Setbacks 5/l"y` <br /> Sun Prairie,WI 53590 <br /> PHONE PHONE Site Plan approval from A <br /> (608) 217-0461 applicable township. AT <br /> E•MAILADDRESS E-MAIL ADDRESS !� Floor plans to scale <br /> Jason.kratz@arnerhart.com p <br /> PROPERTY/LOCATION INFORMATION (httphl/accessdane.co.dane wi.usl) Elevation Of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: p p y <br /> PARCEL 0911183440660 Al ,4—1 0.76 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECT <br /> Bristol 1/4:. <br /> 1/4. c�c k) ,Ay.,: S Driveway permits <br /> ADDRESS: state,county,tO <br /> 7157 Pfeil Bend • <br /> dA anitary permits <br /> CSM: LOT SUBDIVISION BLOCK/LOT <br /> 46 (public, a <br /> Winfield estates kalland addition 46 <br /> PROPOSED PROJECT INFORMATION - "STAFF.REVIEW - <br /> PROJECT DESCRIPTION: ,/ <br /> building a deck onto the house 4 S +L0,. 2 2-/)( 2�x / Zoning District A <br /> . 0 This project is a new building or structure, Permitted Use? 0 C? c it 1t- <br /> OThis project is an addition/alteration to an existing building or structure. S`.1._.,c es '4) S�� <br /> SANITARY SERVICE: PERMIT NUMBER: 'Rural�Ade -ss <br /> EWEREPTIC (new IdCiuu°" <br /> HEIGHT fN FEET: NUMBER OF STORIES: (Not including basement) , // <br /> 10.0 1.0 Wetland/Floodplain/ �A\// <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT 1ST FLOOR: ErosionControl permit <br /> 440.0 4 TOTAL SQUARE FOOTAGE: 1 (slopes,disturbance,0 p , <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 440.0 Review Location Survey// <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ and availa6ls options, /� <br /> (Please round to nearest dollar) ♦ ♦ ♦ $ 8,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Dyes riNo DDon't know <br /> 2. Is there a wetland or floodplain on or near the property? []Yes ✓No DDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? nYes ONo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? QYes ONo <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 ao QDon't know <br /> 7. Is this to correct a violation? QYes EINo <br /> 3 , D 0 APPLICATION MUST BE SIGNED <br /> (Continue on Back) —P —P --P <br /> 545-112(4108) <br />