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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZPPERMIT NO. <br /> OWNER INFORMATION <br /> ■ AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KYLE R PARNELL (608)225-3527 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1696 COUNTY HIGHWAY T <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL,WI 53559 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> lefencesllc@gmail.com <br /> PARCEL NO TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-134-9300-0 TOWN OF SUN PRAIRIE 13 SE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1696 COUNTY HIGHWAY T <br /> subject to field verification.) - <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 12955 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 3.519 Description:pergola 10 x 16 329-Other <br /> District <br /> Category -0 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> p Other: <br /> ROAD CLASSIFICATION REZONE NO. C.0 P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 0 YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> n YES .0 NO ❑ YES 0 NO 0 YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 160 <br /> 10 Sq.Ft. Sq.Ft 160 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $6,000.00 <br /> PERMIT FEE <br /> 1 sq.Ft. sq.Ft. $62.00 <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 subject <br /> 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 difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> 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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or �� �� C1 /1 5� j <br /> plans submitted will invalidate the permit `I/ 3 <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/15/2016 SCW1 <br /> ❑ YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />