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ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Steven Ginter ❑Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 2830 BURKE RD SUN PRAIRIE WI 53590 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)957-3106 ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Cleary Building Com ❑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.usn El Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑NUPARCEL MBER 058/0811-292-8060-1 A-1 EX 5.70 frontage drawn to scale. <br /> TOWNSHIP: SECTION: <br /> Town of Sun Prairie 29 1/: NE l/4+/4. NW ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 2830 BURKE RD <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public,private) <br /> PROPOSED PROJECT INFORMATION V "' i :7''' <br /> PROJECT DESCRIPTION: '�_ ...� f ,. <br /> � x• <br /> 24x48 Storage shed ' a r. <br /> . 0 This project is a new building or structure. <br /> ❑This project is an addition/alteration to an existing building or structure. t `.{ ,. < " <br /> SANITARY SERVICE: PERMIT NUMBER: <br /> [EWER E)EPTIC <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 16.3 1.0 3 <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) `: <br /> BASEMENT: 1ST FLOOR: <br /> 4, TOTAL SQUARE FOOTAGE: 4, : <br /> 2ND FLOOR: 3RD FLOOR: <br /> 1,152.0 <br /> ESTIMATED CONSTRUCTION COST: <br /> (Please round to nearest dollar) "+ 40,000.00 ___ <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ao ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Elves jNo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? Elves ✓�Vo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Yes ✓JNo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ['Yes) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) Elves No ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ❑✓No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ♦ -♦ <br /> 545-112(4/09) 1 ---- - q,/....4 ,V ICJ <br /> 'I f <br />