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ZONNG PERIVIT APPLJCATION 6 ( tp%,-7 <br /> wmcountyardane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Montie & Bridget Bowie <br /> ❑Zoning s;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Re riction;CSM <br /> 1540 Don Simon Dr., Sun Prairie, WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 6083353521 m.birdget22(a�gmail.com El Site Plan n to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includ dimensions <br /> AGENT NAME NfRy1 R NAME <br /> Randy Marten Marten NAME. & Design ..�,/❑Site Plan' ing location <br /> AGENT ADDRESS CONTRACTOR ADDR SS 1t,\ W ?(/1'Vr of well/se c <br /> P.O. Box 64 P.O. Box 64 <br /> (City,State,Zip) (City,State,Zip) ❑Setb cs <br /> Sun Prairie, WI 53590 Sun Prairie, WI 53590 <br /> PHONE PHONE <br /> Site PI., .,.��. rom <br /> 608-212-6934 608-212-6934 appli.,'. - • hip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> randy(a)_martenbuildinq.com randy(c�martenbuildinq.com ❑ Floor plans to <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: ❑Elevation of ro erty <br /> ❑nPARCEL 091130341630 G1 .641 frontage dra to scale. <br /> TOWNSHIP: SECTION: <br /> Bristol 30 1/4: 09 1/41/4: 11 ❑Drivew driar <br /> ADDRESS: 1 4+; t (state c y, <br /> ,_. <br /> CSM: LOT SU DIVISION BLOCK/LOT ❑ <br /> 73 bristol gardens 73 (public, . / <br /> PROPOSED PROJECT INFORMATION <br /> STAFF R VIEW <br /> PROJECT DESCRIPTION: <br /> Single Family New Contruction LI Zon' <br /> This project is a new building or structure. ❑ Permitter 4? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> FIEWER JEPTIC 13-2016-00313 V <br /> HEIGHT IN F T: NUMBER OF STORIES: (Not including basement) eyexisting) <br /> 31'-10" 2 ❑ Wet'- :•L, / <br /> AI ( <br /> AREA TO NEAREST SQUARE FOOT: <br /> chment) <br /> (Outside dimensions including unfinished area,attached garagej nd above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ '®`� j j�+Oi -,rmit <br /> 1997 3479 YYV 4, TOTAL SQUARE FOOTAGE: + (Si It'.,•- . $.:, <br /> fillin• - ..4.M7 <br /> 2ND FLOOR: <br /> V 20 D FLOOR: 7530 <br /> ❑ R i ,i0.4`9•. „- . rvey <br /> ESTIMATED CONSTRUCTION COST: an i <br /> (Please round to nearest dollar) "4 • • ♦ -♦ -+ $ 713,587.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ain ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes a 10 ['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? ❑Yes alo <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) fYes EN. ['Don't know <br /> 7. Is this to correct a violation? ❑Yes al.:, <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) <br /> (Continue on Back) ■ -► <br />