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ZONING PERMIT APPLICATION ww .countyofdane.com SUPPLEMENT to Web-App# <br /> w <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Paul M Spahn ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> 3178 County HWY V Sun Prairie,Wi 53590 Deed Restriction; CSM <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)576-8973 ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Travis Leeser Cleary Building corp <br /> ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 190 Paoli St 190 Paoli St <br /> (City,State,Zip) (City,State,Zip) Setbacks <br /> Verona,WI Verona,WI <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 379-0132 (608) 3.79-0132 applicable township. <br /> E-MAIL ADDRESS E-MAILADDRESS <br /> tleeser @clearybuilding.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdan.e.co.dane.wi.us/) ❑Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> III PARCEL 012/0911-063 9905 0 A_1 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town Of Bristol 6 1s: SW +a�s: SW ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 3178 County Hwy V Sun Pairie, WI <br /> CSM. LOT SUBDIVISION BLOCK/LOT <br /> 14,174 1 ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION t• 9 <br /> PROJECT DESCRIPTION: t g <br /> 42x64 Ag storage shed ® ( !a r `aF <br /> . This project is a new building or structure. t <br /> This project is an addition/alteration to an existing building or structure. >.� <br /> SANITARY SERVICE: PERMIT NUMBER: •� - <br /> x <br /> EWER [EPTIC n , a <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) a " <br /> 20.8 ® '▪Wetlan• ••-,1::i - <br /> 1.0 <br /> =Shore a •�� en ' <br /> AREA TO NEAREST SQUARE FOOT: r a : . <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) t <br /> BASEMENT 1ST FLOOR: 1 4' <br /> 2,688.0 TOTAL SQUARE FOOTAGE: ' (SlOp� Y'Ii• rt? ,, <br /> 2ND FLOOR: 3RD FLOOR: �▪ �� <br /> 2,688.0 x <br /> r• <br /> ❑ Review "ma �: <br /> ESTIMATED CONSTRUCTION COST: $ and available O IOnS <br /> (Please round to nearest dollar) — —, — --0' --► —0 $ 251.60 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? <br /> oyes ONo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ✓Yes fNo nip know <br /> 3. Have you talked with the township about your project and are they in agreement'? Lives SINo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? nYes 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) F/Yes ENo ❑Don't know <br /> 7. Is this to correct a violation? nYes 151N0 <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) - -* -i <br /> 545-112(4/08) <br />