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ZONNG PEEWIT APPLICATION w vwcountyofdane.com Ert====11! <br /> PROPERTY OWNER INFORMATION CU OMER TO PROVIDE <br /> OWNER NAME <br /> DANIEL AND KAYE N.ioning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City.State,Zip) Deed Restriction, CSM <br /> 426 KELLY STREET, SUN PRAIRIE, WI 53590 Variance(# ) <br /> HOME PHONE 1 CELL PHONE E-MAIL ADDRESS --1 <br /> 920-296-3903 ! 920-296-3903 DAN AA121 W @HOTMAIL.COM 5 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION d includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Ske Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS f well/septic <br /> (City,State,Zip) (City.State,Zip) Setbacks <br /> PHONE PHONE 0 Site Plan ap oval from <br /> applicabl ownship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> S Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> PARCEL 060835380550 C „_1 39.409 frontage drawn to scale. <br /> RH4 <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> TOWN OF VERONA 35 1/4: 1/41/,: NE Ig Driveway permits <br /> ADORES (state, county,town) <br /> G737 SUNSET DRIVE <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary permits <br /> 13919 3 (public, private) <br /> PROPOSED PROJECT INFORMATION ' AFF REVIEW <br /> PROJECT DESCRIPTION: <br /> NEW HOME F, .Wing District <br /> siThis project is a new building or structure. ❑ Permitted Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER li 1- al •ddress <br /> DEVVER 2EPTIC 13-2017-00115 ;f ew'-xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 33'-7” etland/Floodplain/ <br /> -------- 1 oreland (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: rOSIOnCOntr01 permit <br /> 2284 4442 4, TOTAL SQUARE FOOTAGE: l (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: <br /> filling/access) ~ <br /> 6726 ` <br /> Li Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ $ 382,000.00 and available options. 1 <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? JYes alo Jon't know <br /> 2. Is there a wetland or floodplain on or near the property? F/1Yes o Jon't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYeslo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Yes 'lo <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 Elon't know <br /> 7. Is this to correct a violation? QYes Fro <br /> o <br /> L APPLICATION MUST BE SIGNED <br /> 45-112'4/08; S��1 (Continue on Back) —► —► <br />