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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 /> Denis Rusalen <br /> Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 3717 Festival Way DeForest,WI 53532 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608) 333-3015 0 Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Tasar/ R_Dy AF Construction LLC 0 Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 951 Kimball Lane Ste112 same as agent <br /> (City,State,Zip) <br /> (City,State,Zip) D Setbacks <br /> Verona,WI 53593 <br /> 0 Site Plan approval from <br /> PHONE (608) 497-1194 PHONE (608) 497-1194 applicable township. <br /> E-MAIL ADD ik u REDAFCON TR CTIONLLC.COM E-MAILADDRESS <br /> ad'am agatdonstruc lonhlc.com adam@afconatructionlic.com O 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 /> D PARCEL 014/0810-031-6211-9 SFR-08 0.40 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: Driveway0 permits <br /> Burke 3 /4: sW '/4: ne (state,county,town) <br /> ADDRESS: 3717 Festival Way DeForest, WI 53532 <br /> D Sanitary permits <br /> CSM: LOT 1 1 SUBDIVISION BLOCK/LOT (public,private) <br /> The Ledges <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: 18' X 36' CARPORT ADDN TO SFRDistrict <br /> Construct a Lean-to carport Zoning <br /> . OThis project is a new building or structure. VPermitted Use? YES <br /> D✓ This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: 41 Rural Address EX <br /> EWER nEPTIC (new/existing) <br /> HEIGHT IN FEET: 12.0 NUMBER OF STORIES: (Not.0 .VI including basement) Wetland/Floodplain/ <br /> N O <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) -�,( <br /> `W ErosionControl permit <br /> BASEMENT: 0.0 <br /> 1ST FLOOR: 6y a 1 TOTAL S4UARE FOOTAGE: l (slopes,disturbance, NO <br /> filling/access) <br /> 2ND FLOOR: 3RD FLOOR: 6 a <br /> fl•0 0'0 7[J V Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: -4. ♦ -4. ♦ +� and available options. YE S <br /> (Please round to nearest dollar) $ <br /> ( lh <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Dyes D✓No ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Dyes ao QDon't know <br /> 3. Have you talked with the township about your project and are they in agreement? fres ONo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? EYes DNo <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) (es E,No DDon't know <br /> 7. Is this to correct a violation? fYes D✓No <br /> $114.80 APPLICATION MUST BE SIGNED <br /> (Continue on Back) -+ —► —► <br /> REV(01/19) <br />