Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION C -TOMER TO PROVIDE <br /> OWNER NAME <br /> Vike Living Trust, Sonja Vike <br /> OWNER ADDRESS (Number,Street,City,State,Zip) V Zoning Status; CUP; <br /> Deed Restriction; CSM <br /> 3049 County Highway A,Stoughton,WI 53589 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)873-5144 maclady_1@yahoo.com <br /> NI Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Woodsview Builders,LLC <br /> Q Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1279 Woodsview Circle <br /> (City,State,Zip) (City,State,Zip) 0 Setbacks <br /> Stoughton,WI 53589 <br /> PHONE PHONE ❑ Sit PI_' a•, oval from <br /> (608) 334-0746 plic.• township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> F1,.or plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usn e Elevation of ro <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P P <br /> n PARCEL 0511-182-8030-6 Al —Exclusive 30.00 frontage draw scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: m <br /> Dunkirk 18 '/a: NE '/a'/a: ❑ Drivewa ermits <br /> ADDRESS: (state ounty, n) <br /> 3049 County Highway A, Stoughton, WI 53589 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑ Sanita ermits <br /> (p IA. , private) <br /> PROPOSED PROJECT INFORMATION TAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Three-car garage T Oning District <br /> . 4 This project is a new buildin or structure. <br /> ermined Use? <br /> ❑This project is an addition/ teration to an existing building or structure...,,,)SANITARY SERVICE: PERMIT NUMBER: ,Rural ' •-- -- S <br /> FIEVVER EPTIC (new!°■istin! <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> S �tTO 1.0 ❑ Wetland/F dplain/ <br /> Shore (attach ent) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT: 0.0 1ST FLOOR: 576.0 TOTAL SQUARE FOOTAGE: ❑ (slopes,CO turbance,it <br /> 1 1 fillip ess) <br /> 2ND FLOOR: 0.0 3RD FLOOR: 0.0 576.0 <br /> ID Review Location Survey O <br /> ESTIMATED CONSTRUCTION COST: <br /> (Please round to nearest dollar) ♦ ♦ ♦ —0 ♦ ♦ $ 35,000.00 and available options. <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes '4No EDon't know <br /> 2. Is there a wetland or floodplain on or near the property? Efres allo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes rdNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes 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) ❑Yes '4No EDon't know <br /> 7. Is this to correct a violation? ❑Yes ONo <br /> as APPLICATION MUST BE SIGNED <br /> (Continue on Back) <br /> 545-112(4/08) 1 <br />