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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 /> John C. Walter <br /> ing Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CS <br /> I�II <br /> 3139 View Road.Madison,WI.53711 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)440-4970 Firechaser127 @gmail.com ElI S. lan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Dennis Buck ❑Site ' eluding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS Of eptic <br /> 6505 Lakewood Lane <br /> (City,State,Zip) (City,State,Zip) a CkS <br /> Manitowoc,W I.54220 <br /> PHONE PHONE El Site P pproval from <br /> (920) 758-2712 appli township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> buckconst @lakefield.net [�.Froor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> El ion of property <br /> ❑PARCEL MBER 028/0610-062-2762-8 R1A 1.00 ntage drawn to scale. <br /> NU <br /> TOWNSHIP' SECTION' <br /> Dunn /,: W Y/41/: ❑Drive ermits <br /> ADDRESS: (sta , nty,town) <br /> 3139 View Road <br /> CSM: LOT SUBDIVISION BLOCK/LOT III Sanit. y permits <br /> (public, • vate) <br /> 22 Meadowview <br /> PROPOSED PROJECT INFORMATION g STAF `R <br /> PROJECT DESCRIPTION r <br /> Accessory Building <br /> Q This project is a new building or structure. pp /})t ' <br /> This project is an addition/alteration to an existing building or structure. s.." <br /> SANITARY SERVICE •� <br /> PERMIT NUMBER: Fuf1 t ''',....,,,4t-,....."7:'`,,,f- : , <br /> EWER [EPTIC (ne. <br /> HEIGHT IN FEET NUMBER OF STO S: (Not including basement) s <br /> t 12.0 1.0 ` `„`$! t <br /> AREA TO NEAREST SQUARE FOOT: G entY <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) - „ <br /> BASEMENT: 1ST FLOOR: `` • • ' <br /> 0.0 1,200.0 j TOTAL SQUARE FOOTAGE: j ((i •• ,• • �`� <br /> 2ND FLOOR: 3RD FLOOR: <br /> 0.0 0.0 1 ,200.0 <br /> teW 4 <br /> ESTIMATED CONSTRUCTION COST: rid'SVaiab • <br /> (Please round to nearest dollar) ♦ "� ♦ 12,000,00 <br /> -T z.. <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes �No ['Don't kno <br /> 2. Is there a wetland or floodplain on or near the property? i Yes ONo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? n✓Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? nYes �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) nYes ONo ❑Don't know <br /> 7. Is this to correct a violation? oyes 4No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) <br /> (Continue on Back) -+ -+ � <br />