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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 /> David & Wendy lanne 4 <br /> Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) eed Restriction; CSM <br /> 3038 Bunker View,Sun Prairie WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)849-6770 iannedave©yahoo.com IVAN Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME li D <br /> Jeanette Acker Premier Builders Inc NI Site Cluding Iocatio I <br /> AGENT ADDRESS CONTRACTOR ADDRESS of ell/sepf <br /> 102 N Holiday Drive 102 N Holiday Drive 0(City,State,Zip) (City,State,Zip) VI Setbacks 3 e/3 0 /' Sa <br /> Waunakee WI 53597 Waunakee WI 53597 <br /> PHONE PHONE I .Site Plan approval from <br /> (608) 849-6770 (608) 849-6770 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jeanette.acker©tds.net jeanette.acker@tds.net N Floor plans to scale it <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) .� /g <br /> PARENT PARCEL NUMBER: CURREN ZONING: ACREAGE: I� Elevation of property <br /> 0 PARCEL 0911-303-0524-0 rontage drawn to scale. I <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> • + + + I Driveway permits <br /> Bristol 30 /a: SW /4/4: SW � <br /> ADDRESS: state,county,fj�rw <br /> 3097 Fran's Dr <br /> CSM: LOT 64 SUBDIVISION BLOCK/LOT Sanita �� s <br /> Bristol Gardens (publl• <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home Construction ,,Zoning District 4 -I <br /> . 0 This project is a new building or structure. X Permitted Use?g I <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER' / K) Rural A•• -ss <br /> EWER [EPTIC / 3 r /c "002 V (ne .existing <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not induding basement) <br /> 22.0 2 S 1.0 Wetlan 7k.d/ <br /> Floodplain/Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) / ErosionControl permit r <br /> BASEMENT: 1ST FLOOR: TOTAL SQUARE FOOTAGE: (slopes,disturbance, / <br /> 2,606.0 4,332.0 j filling/access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 6,938.0 Review Location Survey <br /> To <br /> ESTIMATED CONSTRUCTION COST: and available options.. t <br /> (Please round to nearest dollar) - -' -' -r -' -' $ 420,000.00 I. <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ONo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Dies 1No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ✓❑Yes E3No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ❑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 ❑No ODon't know <br /> 7. Is this to correct a violation? Des ✓❑No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ♦ -► -i <br /> 545-112(4/08) <br />