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not( 4 to b#3 4757 <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> THOMAS AND SUSAN TRAUTSCH ❑Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 7237 LINSLEY LANE.SAUK CITY,WI 53583 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> TOM 608387-3261 trautschl@tds.net <br /> SUE 608-606-4921 IllSite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> NA ERIC RUHLAND,RUHLAND CONSTRUCTION E Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> E5690 MOUND ROAD <br /> (City,State,Zip) (City,State,Zip) n Setbacks <br /> LOGANVILLE.WI 53943 <br /> PHONE PHONE ❑Site Plan approval from <br /> 608-588-5871 applicable township. <br /> E-MAIL ADDRESS E-MAILADDRESS <br /> ericruhland@gmail.com Floor plans to scale <br /> PROPERTY/LOCATION'INFORMATION (http://accossdane.co.dano.wLus/) ❑Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 050\0907-184-4573-0 RESIDENTIAL .46 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: SECTION 18,T9N,R7E <br /> ROXBURY SW 1/4: SE 1/4: ❑Driveway permits <br /> ADDRESS: (state,county,town) <br /> 7237 LINSLEY LANE,SAUK CITY,WI 53583 <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> (public,private) <br /> 33 BLACKHAWK FIELDS <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: �// <br /> ADDITION OF A 3RD CAR GARAGE:ADDITION OF A SCREEN PORCH ON BACK OF HOME. ❑ Zoning UISLnct <br /> . nThis project is a new building or structure. // <br /> ❑ Permitte�'Use? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER PEPTIC (new/e all <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 16, 1 ❑ Wetlaj�/� ) d Iain/ <br /> f��t..t� Shor I�a)td'(attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> ❑ Erosion nt of permit <br /> BASEMENT: 1ST FLOOR: •/j,�`__ <br /> GARAGE 10X26;PORCH 14X14 ,, TOTAL SQUARE FOOTAGE: j (slop is ce, <br /> filling acces��/1s)\\\\ <br /> 2ND FLOOR: 3RD FLOOR: GARAGE:260 SQ F <br /> PORCH.196 SQ FTU.O it-it ., <br /> ❑ Relet Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ -► --10 $ 60,000 and v I ptions. <br /> (Please round to nearest dollar t <br /> 4 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [fres QNo ['Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ENo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes 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) [fres ❑No Dont know <br /> 7. Is this to correct a violation? ❑Yes ONo <br /> APPLICATION MUST BE SIGNED <br /> REV 101/19) (Continue on Back) —to ♦ -+ <br />