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1 • t <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Mike Turner ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 7296 Mile Rd Sun Prairie,Wi 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (414)349-1700 mturner @crmwi.com ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Cleary Building Corp ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 190 Paoli St <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Verona,WI <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 379-0132 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> tleeser @clearybuilding.com ❑Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑Elevation of property <br /> PARENT PARCEL NUMBER: CURRENTZONING: ACREAGE: <br /> ❑PARCEL 012/0911-182-9175-2 RH2 4.99 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Town of Bristol 18 1/4: SW 1/41/4: NW ❑Driveway permits <br /> ADDRESS: <br /> (state,county,town) <br /> 7296 Mile Rd Sun Prairie, Wi 53590 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ['Sanitary permits <br /> 8,004 1 (public,private) <br /> PROPOSED PROJECT INFORMATION <br /> A,; ,kEV1E*- <br /> PROJECT DESCRIPTION: <br /> 40x56 Storage shed D Zoning District <br /> . IN This project is a new building or structure. Q Permitted Use? '� <br /> This project is an addition/alteration to an existing building or structure. F 's �1' <br /> URra <br /> SANITARY SERVICE: PERMIT NUMBER: � IAddreSS .4 } <br /> EWER [EPTIC (new/extstingY 1'1 (: <br /> HEIGHT IN FEET. NUMBER OF STORIES: (Not including basement) <br /> 20.5 1.0 0 Wetland/Floodp Obi- <br /> Sticoreland (attachment) ;, <br /> AREA TO NEAREST SQUARE FOOT:°wD <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) '. <br /> BASEMENT: 1ST FLOOR: <br /> © ErosionContr0.07it <br /> 4, TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> 2ND FLOOR 3RD FLOOR: fillinglaCCesS + <br /> 2,240.0 0 Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available o tions. <br /> (Please round to nearest dollar) -► -► ♦ -+ ♦ $ 50,000.00 p <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes 12 No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? rfres EiNo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? [Yes Mho <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dyes is 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) nYes ONo ❑Don't know <br /> 7. Is this to correct a violation? nYes ININo <br /> AIAUT BE SIGNED <br /> (Continue PPL C on TION Back)MS -+S-+N-+ <br /> 545-112(4/081 <br />