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DANE COUNTY ZONING PERMIT DCPZP 2014 00764 Pagel of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SACHSE LIVING TR (920) 980-6077 HART DENOBLE BUILDERS,INC. (608) 831-4422 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 9906 TALONS WAY 7923 AIRPORT ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 MIDDLETON, WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> MSACHSE @GMAILCOM JFRANZEN @DENOBLEBUILDERS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0708-301-6821-0 TOWN OF MIDDLETON 30 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3625 WELCOME DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 21 CHERRYWOOD FOREST <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture .9 Description:SFR 101 -SFR (detached) <br /> District <br /> Category ® Residential El Commercial Agricultural SEWER SANITARY PERMIT NO. <br /> 0 Other: <br /> Private 13-2014-00305 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> D YES ❑ NO , <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES ® NO El YES ® NO 0 YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 0 `/ Sq.Ft.2546 Sq.Ft.4126 9740 <br /> r M1{ PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $980,000.00 <br /> 2 Sq.Ft.3068 Sq.Ft. PERMIT FEE <br /> $780.50 <br /> I, the undersigned, 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 with any provision or condition of this permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge 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 www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIG •TURE;e ner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. s��_ a.— 7� /' <br /> OFFICE USE ONLY (form version 03.00.07) • <br /> • <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INT I'N DA E INITIALS <br /> 10/07/2014 -PMK2 <br /> /YEAS ® NO DATE REVIEWED INITIALS 2nd IN T• it T <br /> Initials: `I <br /> f <br />