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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page lof2' <br /> DCPZP-2014-00899 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ERNEST C BORDEN (608) 842-0638 DEGNAN DESIGN BUILDERS (608) 846-5963 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3121 CASTLETON XING 134 ETHUN PLACE <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 DEFOREST, WI 53532 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AMY@ DEGNANBUILDERS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-183-0287-0 TOWN OF BRISTOL 18 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is 3121 CASTLETON XI NG <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 27 WINFIELD ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-1 Agriculture 1.159 Description:screen porch+stair addn 434 - Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SA'fltrVVr P:-RPM' C <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> ❑ YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 258 <br /> 16 Sq.Ft. Sq.Ft.258 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $90,000.00 <br /> 1 Sq.FL Sq Ft PERMIT FEE <br /> 569.35 <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 ordinan -s. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU R-. • ner/Ag DATE: <br /> Ordinances.Any unauthorized change from the information O J�/ / <br /> plans submitted will invalidate the permit. V` <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> d.) 12/01/2014 SJW3 <br /> ❑ YE 7 ® NO <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: I <br /> I <br />