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. ea. . <br /> ZOI►■NG AmUCATIO N vw I n SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Andy Meinholz <br /> Wing Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> c 6813 County Hwy K, Waunakee, WI 53597 Variance(# ) <br /> VV HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 608-831-8103 meinholzexcavating @ gmail.com n rn drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION `*/andincludesdimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Randy Marten Marten Building & Design 14),siterigrincluding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> P.O. Box 64 P.O. Box 64 <br /> (City,State,Zip) (City,State,Zip) S acks <br /> Sun Prairie, WI 53590 Sun Prairie, WI 53590 <br /> PHONE PHONE ❑Site PI provai from <br /> 608-212-6934 608-212-6934 applic township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> randy @martenbuilding.com randy@martenbuilding.com oor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ACREAGE: Vatlon of property <br /> El PARCEL 091118461180 --/1 _f .760 rontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Bristol 18 1/4: SE 1/41/4: SE ❑Drive ermits <br /> ADDRESS: �r (sta ,c unt tow , <br /> fern D 1 `i V' (,-i Iita permits <br /> CSM: LOT 18 SUBDIVISION BLOCK/LOT •,• rivate) � <br /> Brunson's Ridge 18 <br /> PROPOSED PROJECT INFORMATION OFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Single Family New Contruction a' oning District <br /> ZThis project is a new building or structure. I.J 1,*°itted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ R I Address <br /> DEWER �EPTIC 13-2016-00364 sting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> trecr% ❑ Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: OSWnContro)permit <br /> 2,008 3069 + TOTAL SQUARE FOOTAGE: ,l, (slopes,disturbance, <br /> filling/access) <br /> 2ND FLOOR: 3RD FLOOR: No <br /> 5,077 eview Location Survey /� <br /> ESTIMATED CONSTRUCTION COST: °tV <br /> (Please round to nearest dollar) ♦ -• -* ♦ -• -• $ 438,107.74 and available options /0 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes [ lo ❑Don t know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes 'lo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? [ Yes ['No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Elves llo <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) Dyes Jlo ['Don't know <br /> 7. Is this to correct a violation? Elves Ilo <br /> APPLICATION MUST BE SIGNED <br /> sas„2laioe) (Continue on Back) -► ♦ - <br />