Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION COST', ER TO PROVIDE <br /> OWNER NAME <br /> Alexander and Jennifer Kobryn , zoning Status; CUP; <br /> J OWNERADDRESS (Number,Street,City,State,Zip) reed R trlC ion; CSM <br /> 2071 River Estate Lane, Stoughton, WI 53589 Varia e(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)393-0808 jzlotocha @yahoo.com ❑ i Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Alexander kobryn ❑Site uding location <br /> AGENT ADDRESS CONTRACTOR A.u' SS of w se is <br /> 7 7 (CiCity,State,Zip) <br /> ty,State.Zip) etbacks <br /> PHONE PHONE ❑Site la pproval from <br /> a.e township. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> F or plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) E ation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: P P dY <br /> ❑PARCEL 046/0611-291-8415-7 R-1 1.61 rontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Pleasant Springs 29 1/4: NE x/41/4: NE ❑Drivew rmits <br /> ADDRESS: 2071 River Estate Lane, Stoughton WI 53589 (S c nty,town) <br /> CSM. LOT SUBDIVISION BLOCK/LOT 1=I(p • • •rmltS <br /> (p s p .vate) <br /> PROPOSED PROJECT INFORMATION S FF REVIEW <br /> PROJECT DESCRIPTION: <br /> Expand Desk from about 235 square feet to 570 square feet. nin istrict <br /> . ❑This project is a new building or structure. rmitted Use? <br /> 4This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBE RUfalAddjP� <br /> EWER [EPTIC 1�f" (n- - !sting <br /> HEIGHT IN FEET: NUMBER OF STORIES`(: (Not including basement) ///// <br /> Al 4 - -a./Floodplain/ <br /> AREA TO NEAREST SQUARE FOOT: d achment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> osionControl permit <br /> BASEMENT: 1ST FLOOR: <br /> Sj. —7„ + TOTAL SQUARE FOOTAGE: 1 (slopes,disturbance-,-----CD <br /> 2ND FLOOR: 3RD FLOOR: Min ccess) <br /> '51.------4. eview Locati Survey <br /> ESTIMATED CONSTRUCTION COST: �� and available op s. <br /> ♦ • + <br /> (Please round to nearest dollar) - —, <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? QYes Jlo [i]Don't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes f No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ❑No <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 'lo ❑Don't know <br /> 7. Is this to correct a violation? Yes QNo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -* <br /> 545-112(4/08) <br />