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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 /> Kevin and Shelly Mehring <br /> oning Status;CUP; <br /> ie'‘ <br /> NER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 3158 Waucheeta Trail ATown of Dunn Variance(# �� ) <br /> ® <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> / ite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION a d . ides dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> 12 Gauge Construction LLC dSite Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well/septic <br /> W1223 Linden Rd <br /> (City,State,Zip) (City,State,Zip) Di soaerg--- <br /> Ixonia, WI 53036 <br /> PHONE PHONE Site Pla val from <br /> (262) 468-4737 rpli e ownship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jodieh @12gcc.com U., loor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.US/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: p p y <br /> E NUPARCEL MBER 028/0610-051-4282-8 R2 0.05 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Dunn 5 +/: NE 1/41/4: NW Dri w rmits <br /> ADDRESS: (sta , aunty,town) <br /> 3158 Waucheeta Trail <br /> [ anitary .: its <br /> CSM: 2 790 LOT 2 SUBDIVISION BLOCK/LOT .ri ate) <br /> 7 N/A N/A <br /> PROPOSED PROJECT INFORMATION °"�" ��"'°°' �'°,� '��� / <br /> PROJECT DESCRIPTION: w w%/ hj� <br /> Interior remodel �'TO� <br /> ❑This project is a new building or structure. %r;4 �j <br /> MI This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT <br /> EWER FTEPTIC f0< �O j, <br /> HEIGHT IN FEET NUMBER OF STORIES. (Not including basement) /4/ � % <br /> 24.0 1'%� � <br /> may,%, /4„,.„/%4V,/ <br /> AREA TO NEAREST SQUARE FOOT: /i��/ <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) �l ,,y/%'���%/// Do/y/Jz <br /> BASEMENT: 1ST FLOOR: it 1'1,12 ///",,, y A%%j'////// y��j//% <br /> 0.0 I,�, /(7.6 <br /> TOTAL SQUARE FOOTAGE: <br /> 2ND FLOOR:^y 0 3RD FLOOR: l yJr 1' //y /%G <br /> �j4#/,:,�.,. %jam//// <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ ,i/ <br /> (Please round to nearest dollar) $ 350,000.00 / z ////�� ::: <br /> TO <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? E✓Yes ao ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Yes ❑ ['Don't Don't know <br /> 3. Have you talked with the township about your project and ['Yes are they in agreement? ❑Yes Ilo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? EYes �Io <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 !lo ❑Don't know <br /> 7. Is this to correct a violation? EYes ['No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) <br />