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DANE COUNTY ZONING PERMIT ZONING PERMIT NO.2016-00475 Page 1of2 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ROBERT M DILLIS (608)§14P Jason Schluter Construction (608) 574-3607 BILLING ADDRESS(Number,Street) p7R 0" Q?.SQ) ADDRESS(Number,Street) 7502 EAST PASS S10249 Dead End Rd., (City,State,Zip) (City,State,Zip) MADISON, WI 53719 Plain, WI 53577 E-MAIL ADDRESS E-MAIL ADDRESS bdillis @gmail.com jasonschluterconstruction @gmail.com PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0608-313-9210-0 TOWN OF VERONA 31 SW SW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is tee Spring rec; RD subject to field verification.) 7/ e. LOT BLOCK C.S.M.NO.or PLAT NAME 2 CSM 12831 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT:• haw Structure/Addition CENSUS CODE RH-2 Rural Homes 5.021 Description:sfr w/covered porches and deck 101 - SFR (detached) District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Private 13201600208 • ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION • C-Town Road 10080 ❑ YES ® NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. E C- 20160109 ❑ YES ® NO ❑ YES ® NO ❑ YES 0 NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 5903 25 Sq.Ft.2181 Sq.Ft.3722 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $451,627.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $492.72 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 'IG .TURE: Ow I ge t DATE: Ordinances.Any unauthorized change from the information or 1� Apr plans submitted will invalidate the permit. —./ % _A gI=. 7--.a�' — /6 OFFICE L'SE ONLY (form version 03.01.00) SURVEY REQUIRED? DATE ISSUED I riFS 1st INSPECTION DATE INITIALS 07/28/2016 SC W 1 ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials:Y.F LS g — 1 /G p M K