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is V. 0 (0( 1- <br /> ZONING CATION immitcouityddane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Matt & Nichol Toomire <br /> El Zoning Status;C P; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restri i ;CSM <br /> 1331 O'Keefe Ave #211, Sun Prairie, WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 641-799-3755 nicholtoomire(o�alliantenergy.com ❑Site Plan dr to scale <br /> AGENT INFORMATION !CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Randy Marten Marten Building & Design ❑Site Pla Inc ding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/se <br /> P.O. Box 64 P.O. Box 64 <br /> (City,State,Zip) (City,State,Zip) ❑SeVe <br /> Sun Prairie, WI 53590 Sun Prairie, WI 53590 V <br /> PHONE PHONE ❑Site Plan pr v <br /> 608-212-6934 608-212-6934 applicab t i <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> randymartenbuilding.com randyAmartenbuildinq.com ❑ Floor pl to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) � ElevationOf r0 rty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ElPARCEL 091119300450 A-1 .782 frontage dra to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Bristol 0 19 1/4: SW %1A: NE ❑ Driv wa its <br /> ADD RESe9�C (St e, tOWn) <br /> a V" � ila---- - Sanit per is <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑ ry p <br /> 5 <br /> Parker Place 5 (public, r ate) <br /> PROPOSED PROJECT INFORMATION STAFF EVIEW <br /> PROJECT DESCRIPTION: <br /> Single Family New Contruction ❑ Zonin istrict <br /> . IThis project is a new building or structure. ❑ Permitte ? <br /> ❑This project is an addition/alteration to an existing building or structure. `�` <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ R - Address <br /> EWER IEPTIC 13-2016-00272 40-Xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) P <br /> 20'-2" 1 L.1 Wetlan. , .../A / <br /> AREA TO NEAREST SQUARE FO T: ShOCeI. 4: r-Ch -nt) <br /> (Outside dimensions includi unfinished area,attached garages nd above grade decks or porches) <br /> BASEMENT: 1841 1ST FLOOR: 3312 ❑ ErosionCon is <br /> TOTAL SQUARE FOOTAGE: + (SIOpes •• -, <br /> 2ND FLOOR: 3RD FLOOR: filling/.4 = <br /> 5153 <br /> Li Review oca it. rvey <br /> ESTIMATED CONSTRUCTION COST: and ay.,'.•1= •.1" S. <br /> (Please round to nearest dollar) "♦ ♦ -+ ♦ ♦ ♦ $ 459,029.00 <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 1No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? EYes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ZNo <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 Zplo ❑Don't know <br /> 7. Is this to correct a violation? QYes alo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) —► <br /> 545-112(4/081 <br />