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t <br /> SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Mike and Stacy Ramaker kt/,4 <br /> oning Status;CUP; <br /> WNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 8595 Schoepp Road,Sauk City,WI,53583 <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)644-9710 stacyramaker @aol.com © ite PI drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION • dudes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jewell Associates Engineers,Inc. Unknown <br /> © Site P <br /> AGENT ADDRESS CONTRACTOR ADDRESS iSep{c location <br /> cluding <br /> 560 Sunrise Drive <br /> (City,State,Zip) (City,State,Zip) VI acks <br /> /Spring Green,WI 53588 <br /> ‘Z Spring <br /> PHONE ❑ = -I� .proval from <br /> (608) 588-7484 ap• . -• - township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> todd.deibert@jewellassoc.com © ' •• plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: © eva. n of property <br /> ❑PARCEL 0907-032-8060-2 R-1A 1.85 f ge drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: k <br /> Roxbury 3 1/4: NW '/4+/4: NE (state YUnty,town) <br /> ` ,ADDRESS: j�p <br /> v 8595 Schoepp Road v"� <br /> CSM: LOT SUBDIVISION -BLOCIVLOT ❑Sanitary permits r�e.�sPI M <br /> 4,961 4 (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: r� � 'lnB D�*. <br /> Home addition and remodeling. L I tistrict <br /> . <br /> This project is a new building or structure. i Use? <br /> 151This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: 0 Rural; •• - <br /> EWER [EPTIC 890,382 ( = - " ~ <br /> VIEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 14.7 1.0 0 =1 it ••..lain/ <br /> attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) 0 ems. <br /> BASEMENT: 1ST FLOOR: �Iii 478.0 1 ,798.7 4 TOTAL SQUARE FOOTAGE: , ( J <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 2,283.3 <br /> argview Location Survey <br /> ESTIMATED CONSTRUCTION COST: and avatlle options. <br /> (Please round to nearest dollar) -' -► -► ♦ ♦ $ 175,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes ❑No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Elves ])o ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? JYes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? [Yes IN 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) Oyes DIo ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓❑No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) (Continue on Back) ■ -+ <br />