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DANE COUNTY ZONING PERMIT DCPZP 2015 00513 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MICHAEL P BAUER (608) 837-5352 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 6269 IRVING DR <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AWKAEMME @WISC.EDU <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0810-D21-3671-0 TOWN OF BURKE 2 NE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6269 IRVING DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3l CHARLOTTES WALK <br /> ZONING DISTRIC I PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 AgricL ItL re .7 Description:SHED 12X12 329-Other <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural 'SEWER SANITARY PERMIT NO. <br /> Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Olher <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES 0 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 144 <br /> 9 Sq.Ft. Sq.Ft. 144 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $2,400.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $60.80 <br /> I, the uncle's gned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply ith any provision or condition of this permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowlee that I am responsible for complying with State and Federal laws concerning construction <br /> near or on Wetlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may result in removal or modification of construction that violates <br /> the law or other penalties or costs. For more information, visit the Department of Natural Resources web <br /> page at wvi rw.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby ccnsent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes cf determining compliance with the zoning ordinances. •Owner&Agent,hereby agree to comply with all Dane County NATURE: Owner/• _ - • . DATE: <br /> Ordinances.Any unauthorized change from the information o i. <br /> plans submitte.' will invalidate the permit. ' /��, i �. (0 <br /> 1 <br /> OFFICE USE ONLY (form version 03.0J.07) <br /> SURVEY REQUI-ED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/10/2015 HJ H 3 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 11 141\S <br />