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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 /> Richard & Lori Wipperfurth <br /> D Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 4798 Norton Dr,Sun Prairie,Wi.,53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)825-4333 (608)770-6862 rlwipperaiaol.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> PHONE PHONE ❑Site Plan approval from <br /> applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> n PARCEL 058/0811-323-9160-0 A-1 S frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION:q � <br /> Sun Prairie _ __ +/4: +/4+/a: ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 4798 Norton Dr, Sun Prairie, Wi., 53590 <br /> . ❑Sanitary permits <br /> cSM: .�J� LOT SUBDIVISION BLOCK/LOT (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Build a 16x12'Deck, 18"High ❑ Zoning District <br /> . ['This project is a new building or structure. ❑ Permitted Use? <br /> 4 This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: ,/. PERMIT NUMBER: ❑ Rural Address <br /> EWER I*EPTIC (new/existing) <br /> HEIGHT IN FEET: ` \l NUMBER OF STORIES: (N duding basement) <br /> ' <br /> rvi ❑ Wetland/Floodplain/ <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: <br /> ❑ ErosionControl permit <br /> / ,, TOTAL SQUARE FOOTAGE: + (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: '/ <br /> 1 °I filling/access) <br /> • ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ Q and available options. <br /> (Please round to nearest dollar) �V / (9 m m 0 <br /> f <br /> 1. The prop lS tbir@ 0 filet of q ktr am or 1000 feet from a pond or lake? ❑Yes alo ❑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? Dies o <br /> 4. Has there beeitonipg pertrItissued for this property in the past 5 years? ❑Yes Olo <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 Olo DDon't know <br /> 7. Is l'us,.tacarrecta voolation?, ❑Yes ao <br /> f ` <br /> �1� J • L APPLICATION MUST BE SIGNED <br /> 545-112 taiosl (Continue on Back) —► —, -. <br />