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SUPPLEMENT to Web-App# <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Charles & Andrea Sieb (i Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 2677 Rolling View Rd. Variance(# ) <br /> HOME PHONE !CELL PHONE E-MAIL ADDRESS <br /> (608)444-5104 (608)609-8454 clsieb@gmail.com <br /> ❑✓ Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Tim Andrews Capitol Pools LLC [1 Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 2890 Terra Ct.Ste. 12 2890 Terra Ct.Ste. 12 <br /> (City,State,Zip) (City,State.Zip) ❑Setbacks <br /> Sun Prairie,WI 53590 Sun Prairie,WI 53590 <br /> PHONE PHONE <br /> ❑Site Plan approval from <br /> (608) 825-7878 (608) 825-7878 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> mail@capitolpool.com mail@capitolpool.com El Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usf) ❑Elevation of property <br /> PARENT PARCEL NUMBER. CURRENTZONING. ACREAGE. <br /> ❑PARCEL 046/0611-291-0718-7 sfr-08 1.24 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP SECTION <br /> Pleasant Springs 29 1/: NE 1/41/4: NE ❑Driveway permits <br /> ADDRESS: -- (state, county,town) <br /> 2677 Rolling View Rd. <br /> ❑Sanitary permits <br /> CSM LOT SUBDIVISION BLOCK/LOT <br /> v Squire%Rolling Moodows1st Mltion (public,private) <br /> PROPOSED PROJECT INFORMATION <br /> PROJECT DESCRIPTION <br /> Inground Swimming Pool ,_..l Zoning Distr... <br /> ✓❑This project is a new building or structure. L..1 Permitted Ust,' <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER J Rural Addre ,- <br /> EWER EPTIC (new/exlstirk° . <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement) <br /> 0.0 .J Wetland/7,7 :''.' <br /> Shorela <br /> AREA TO NEAREST SQUARE FOOT. <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) A <br /> BASEMENT. 1ST FLOOR — — >_J Eros,onCortt e c , <br /> 540.0 , TOTAL SQUARE FOOTAGE: j (slopes;dist , s>-il , : <br /> t,s. <br /> 2ND FLOOR: 3RD FLOOR: <br /> 540.0 Review Location Su '' <br /> ESTIMATED CONSTRUCTION COST: <br /> (Please round to nearest dollar) —10. —0. 0 -4. -4. "� $ <br /> nd vatlplale ttprl.o <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? EYes LIN o EDon't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ❑No EDon't know <br /> 3. Have you talked with the township about your project and are they in agreement'? EYes [7]No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Eyes CNo <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 allo EDon't know <br /> 7. Is this to correct a violation? ryes EN <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► -► -► <br /> 545-112(4/08) <br />