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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 /> Richard A Barton Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Stree t,City State,Zip) Deed Restriction; CSM(a ^, E O �,1, 4a 5-211 Variance(# <br /> ) <br /> HOME PHONE CL PHONE E-MAIL <br /> (301)237-9056 (301)237-9056 barton.ra @outlook.com 0 Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION .nd includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Marshall Barton City Country Const.LLC-Marshall Barton 0 Si - Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS : well/septic <br /> 127 N Prairie, 127 N Prairie, <br /> (City,State,Zip) (City,State,Zip) ISI Setbacks <br /> Stoughton Wi 53589 Stoughton Wi 53589 <br /> PHONE PHONE 13 Site Plan approval from <br /> (608) 843-6277 (608) 843-6277 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> citycountryconstructionllc @yahoo.com citycountryconstructionllc @yahoo.com 0 Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: Q Elevation of property <br /> 0 PARCEL 026-0511-162-9050-4 R-2 2.30 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Dunkirk 16 'A: SW I/4I/: NW IS Driveway permits <br /> ADDRESS: tate,county,town) <br /> 985 County Hwy N, Stoughton WI 53589 p S.nits <br /> CSM: LOT SUBDIVISION BLOCK/LOT nitary permits <br /> t.ublic, private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: j <br /> Build new house with attach garage and shop IaQ Zoning District <br /> . ISI This project is a new building or structure. d Permitted Use? <br /> OThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: l Address <br /> EWER EPTIC new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 17.5 1.0 etland/Floodplain/ <br /> horelant (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1 ST FLOOR: ❑ Fosioneontrol permit <br /> 1,740.0 )193% 4, TOTAL SQUARE FOOTAGE: 4, slopes,disturbance, j filling/access) <br /> 2ND FLOOR: 3RD FLOOR: ylb <br /> $ tsR few Location Survey <br /> ESTIMATED CONSTRUCTION COST: Q nd available options. <br /> (Please round to nearest dollar) ". ♦ '' '♦ "i ♦ 200,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes QNo EgDon't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes Elio Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? :Yes ON° <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dies Ilo <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) Efres o Don't know <br /> 7. Is this to correct a violation? QYes ONo <br /> , ' Z 0 l _ Of Z APPLICATION MUST BE SIGNED <br /> (Continue on Back) ■ -* <br /> 545-112(4/08) <br />