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/ ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> / / PROPERTY OWNER INFORMATION <br /> OWNER NAME CUSTOMER TO PROVIDE <br /> Judy and Clark Langley <br /> OWNER ADDRESS (Number,Street,City,State,Zip) ❑Zoning Status; CUP; <br /> Muller Road,Town of Bristol,WI Deed Restriction; CSM <br /> HOME PHONE CELL PHONE Variance(# ) <br /> E-MAIL ADDRESS <br /> '(608)250-9164 <br /> D Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Kennan Crothers Voyager Builders <br /> Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1500 W Main ST 1500 W Main St <br /> (City,State,Zip) (City,State,Zip) D Setbacks <br /> Sun Prairie,WI 53590 Sun Prairie,WI 53590 <br /> PHONE PHONE D Site Plan approval from <br /> (608) 444-2742 (608) 444-2742 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> kennan @voyagerbuilders.com kennan @voyagerbuilders.com D Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: D Elevation of property <br /> DPARCEL <br /> NUMBER `1l f (c2.�° IOp 0 A--1 1.13 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Bristol 1 C. ' : %IA: D Driveway permits <br /> ADDRESS: (state, county,town) <br /> Muller Road <br /> CSM: 14,333 LOT 1 SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public,private) <br /> ( PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> outbuilding ❑ Zoning District <br /> • IN This project is a new building or structure. <br /> Ll Permitted i-USe? <br /> DThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER 7EPTIC 13 -.20/G _ U o 3 ci 3 (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> / c '" — 1.0 ❑ Wetland/Fioodplain/'. <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: 2 ��],,�- ❑ ErosionControt.permit <br /> "r•v O/ y j TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: (� 8b/ filling/access) <br /> ESTIMATED CONSTRUCTION COST <br /> r CI Review Location Survey <br /> (Please round to nearest dollar) ♦ _o. ...o. ..+ and available options. <br /> Ii , OoO <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Dies [AN() DDon't know <br /> 2. Is there a wetland or floodplain on or near the property? Dyes JNo DDon't know <br /> 3. Have you talked with the township about your project and are they in agreement'? D✓Yes DNo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dyes IN <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) Dies 2No DDon't know <br /> 7. Is this to correct a violation? Dyes D✓No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) ■ —► —• <br />