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DANE COUNTY ZONING PERMIT DCPZP-2015-00638 Page 1 of 2 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE LAKE WAUBESA BIBLE CAMP INC (608) 838-9615 PAUL DAVIS RESTORATION (608) 839-4100 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 2851 CRESCENT DR 3432A COUNTY HIGHWAY N (City,State,Zip) (City,State,Zip) MCFARLAND, WI 53558 COTTAGE GROVE, WI 53527 E-MAIL ADDRESS E-MAIL ADDRESS JBOCK @PAULDAVIS.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0610-091-2850-6 TOWN OF DUNN 9 NE NW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 2851 CRESCENT DR subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME C DUNN ASSESSOR'S PLAT NO.2 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE RE-1 Recreational 5.2 Description:REPLACEMENT OF EXISTING PATIO WITH DECK 434- Residential Addition District AND LIFT Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Sewer ROAD CLASSIFICATION 'REZONE NO. C.U.P.NO. VARIANCE NO. I DEED RESTRICTION ❑ YES (a NO SHCRELAND FLOOD ZONE WETLAND- ECiSW NO. - ® YES ❑ NO ❑ YES ® NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 972 8 Sq.Ft. Sq.Ft.972 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $30.000.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $122.90 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. • I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural.Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning,ordinances. Owner&Agent hereby agree to comply with all Dane County SI ATURE: Owner/Agent. DATE: Ordinances.Any unauthorized change from the information or G plans submitted will invalidate the permit. . - OFFICE USE ONLY (form version 03.00.07) SURVEY REQUIRED? DATE ISSUED INITIALS let INSPECTION DATE INITIALS 08/18/2015 HJH3 ❑ YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS - ials: