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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 /> Peter& Marki Landerud 0 Zoning Status; CUP; g-1 <br /> OWNER ADDRESS (Number.Street,City,State,zip) <br /> Peed Restriction; CSM <br /> 4266 Lookout Trail,McFarland,WI,53558 Variance(# <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608) 790-3542 (608) 516-8728 planderud @gmail.com;fox.marki @gmail.com ∎ Site Plan drawn to scale <br /> AGENT INFORMATION 1 CONTRACTOR INFORMATION and includes dimensions / <br /> AGENT NAME CONTRACTOR NAME / <br /> Chris Landerud Braun Built Inc gsite Plan including locatio <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 4426 Mahoney Road 1342 Starr School Road <br /> (City,State,Zip) (City.State,Zip) Setbacks 70/Z3' (?/j 9` <br /> McFarland,WI,53558 Stoughton,WI 53589 V <br /> PHONE PHONE site Plan approval from <br /> (608)444-3604 (608) 873-8652 or (608) 345-8652 applicable township. it/ii <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> chrisdl l @ ahoo.com info @braunbuiltinc.com !1 Floor plans to scale <br /> / It <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us� �ElevatlOn of property <br /> // <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P perty "� <br /> Q NUMBER 028/0610-174-6034-6 R-1 Single Fam 0.346 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Town of Dunn SE-SE17 %: TO6N 1/4'/4: R10E iflzriveway permi <br /> ADDRESS: (state,county, <br /> 4266 Lookout Trail,McFarland,WI,53558 Vdsanita its <br /> CSM: LOT SUBDIVISION BLOCK/LOT (publi ,privat=) <br /> Lot 4 Simpson Plat <br /> PROPOSED PROJECT INFORMATION <br /> ' STAFF-REVIEW <br /> PROJECT DESCRIPTION: , ,�© r / / C <br /> Build a backyard shed oning / f <br /> ®This project is a new building or structure. Q S �Cx p 1 C <br /> PermitteP Use? <br /> OThis project is an addition/alteration to an existing building or structure. <br /> I SANITARY SERVICE: PERMIT NUMBER: unst ':.'_':-.:v <br /> .-0( --= <br /> EWER {f SEPTIC <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 11'5 3/8" One i <br /> AREA TO NEAREST SQUARE FOOT: , <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches EI Ilt t <br /> BASEMENT: 1ST FLOOR: a <br /> 24'x 20' j TOTAL SQUARE FOOTAGE: 4, <br /> 2ND FLOOR: 3RD FLOOR: <br /> ) . // <br /> 480 SF �j'n dietsfmew <br /> ESTIMATED CONSTRUCTION COST: $ rI <br /> (Please round to nearest dollar) ♦ '♦ ♦ ♦ ♦ "♦ $ I/ ©I 00 !/ <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Oyes [lo ODon't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes ENo [Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? DI1Yes alo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? OYes Ilo <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) JX]Yes EVo Joon't know <br /> 7. Is this to correct a violation? QYes ao <br /> IZ,:t.‘�i t 4 0 APPLICATION MUST BE SIGNED <br /> ontinue on Backl ■ -► -► <br />