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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION ii • ■ - • • - • ' • <br /> OWNER NAME / <br /> Jim & Sue Dunn / <br /> 10 Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM 1 n l t <br /> 4464 Oak Hill Rd Oregon WI, Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS d1 <br /> • <br /> ite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions i1� <br /> AGENT NAME CONTRACTOR NAME i0 U <br /> Adam Hebgen Washa Construction gSit- '",....n including locatio 2 i <br /> AGENT ADDRESS CONTRACTOR ADDRESS ae eptic <br /> 4915 Farwell St 4915 Farwell St /� C <br /> (City,State,Zip) (City,State.Zip) �• Setbacks 600/7 • ( ✓ <br /> McFarland,WI 53558 McFarland,WI 53558 <br /> PHONE PHONE KSite Plan approval from 4 <br /> (608) 838-8318 (608) 838-8318 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ahebgen @washa.ws aheben @washa.ws A Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ,I.I Elevation of property <br /> ❑PARCEL 052/0510-083-9270-6 A-1 Ex 1.01 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Rutland 8 1/4: SW /4+A: SW lifDriveway perm <br /> ADDRESS: (state,county <br /> 4464 Oak Hill Rd <br /> CSM: 2,371 LOT 1 SUBDIVISION BLOCK/LOT FA; (p nitary <br /> (public, • <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Sunroom Addition <br /> itt Zoning District A_ ,.4 i :. <br /> ❑This project is a new building or structure. O': Permitted Use? /4 lip ' t) <br /> This project is an addition/alteration to an existing building or structure. �/' <br /> SANITARY SERVICE: PERMIT NUMBER: y Rural Ate ; /C. <br /> EWER [EPTIC (ne �• t <br /> HEIGHT IN FEET: 14 0 NUMBER OF STORIES: (Not including basement) 0:1 Wetlan./Floodplain/ <br /> orelan. attachment) ■% <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) r <br /> BASEMENT: i 1ST FLOOR: e;4 ErosionControl permit / 4, <br /> 224.0 4, TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> filling/access) <br /> 2ND FLOOR: i 3RD FLOOR: 224.0 <br /> X;eview Location Survey / 4 <br /> ESTIMATED CONSTRUCTION COST: and available o bons. <br /> (Please round to nearest dollar) — ♦ ♦ —P ♦ -♦ $ 20,000.00 p <br /> 1. The property is within 300 feet of a stream o 1000 feet from a pon r lake? Efres ONo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the props y'! ❑Yes EiNo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? [Yes filNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Elves 1 g No <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) [Yes ONo ❑Don't know <br /> 7. Is this to correct a violation? ['Yes '4No <br /> (-, 2( (v APPLICATION MUST BE SIGNED <br /> 545-11z taros; (Continue on Back) <br />