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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 /> Stephanie & Kevin Kleckner <br /> INI <br /> OWNER ADDRESS (Number,Street,City,State,Zip)OWNER tus; CUP; <br /> 5833 Grassland Terrace,Marshall,WI 53559 estriction; CSM <br /> `� HOME PHONE CELL PHONE E-MAIL ADDRESS Vanance(# ) <br /> (608)225-4594 kevinkleckner @charter.net IN Site Plan d wn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION a • udes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Ambiance Homes Inc Patio Pleasures <br /> Site PI ncluding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of � <br /> /sept <br /> 5833 Grassland Terrace (C5rZ. L-5"- Vi1e3LX.rN - <br /> ity,State,Zip) (City,State,Zip) kS <br /> Marshall,WI 53559 <br /> V��// Sun Prairie,WI 53590 151 <br /> PHONE PHONE 0 to P n approval from <br /> (608) 225-4594 (608)$2S—(c a icable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ambiancehomesinc@charter.net 0 Flans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: IN El ati Of property <br /> ElPARCEL 0811-123-4128-0 R-1 DCPREZ-0000-08249 1.02 fro a drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Sun Prairie 12 1/4, SW %IA: SW IN Drive pe .s <br /> DRESS: (state, ,town) <br /> 5833 Grassland Terrace <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sani its <br /> 14,162 1 Savannah Valley (publ. , rivate) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> In-ground pool ) x(3.6 ❑ o g District <br /> . ❑This project is a new building or structure. ❑ er ed Use? <br /> ri This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ral Address <br /> EWER [EPTIC 13,201,600,022 (new/, <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 0.0 0.0 LI We d/F plain/ <br /> AREA TO NEAREST SQUARE FOOT: Shor d (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ Eros' Contr !permit <br /> 0.0 0.0 c 4 TOTAL SQUARE FOOTAGE: 4 (slopes • urbance, <br /> fillip ss) <br /> 2ND FLOOR: 0.0 3RD FLOOR: 0.0 C / - 0.0 <br /> ❑ Revie L lion Survey <br /> ESTIMATED CONSTRUCTION COST: and able tions. <br /> (Please round to nearest dollar) ♦ -► ♦ ♦ ♦ ♦ $ 40,000.00 <br /> !//�� <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes ✓�lo QDon t`ttnow <br /> 2. Is there a wetland or floodplain on or near the property? QYes g o DDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? Yes go <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes E]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) Dies []No QDon't know <br /> 7. Is this to correct a violation? [Yes Q✓No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► -io -► <br /> 545-112(4/08) <br />