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( DANE COUNTY ZONING PERMIT ZONING PERMIT"° Page of DCPZP-2014-00864 OWNER INFORMATION AGENT!CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MREC VH MADISON LLC (608)226-3100 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 6801 SOUTH TOWNE DR (City,State,Zip) (City,State,Zip) - MADISON,WI 53713 E-MAIL ADDRESS E-MAIL ADDRESS SECTION 1/4 1/41/4 0708-203-6111-0 TOWN OF MIDDLETON 20 SW SE P R O P E P,,ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignnwntof new address i 3800 SILVERBELL RD subject to field verification.) - LOT BLOCK C.S.M.NO.or PLAT NAME 11 SPRUCE HOLLOW ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE A-1 Agriculture 0.96 Description:ssr w/cov ft por,at grade patio 101 -SFR(detached) District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. Private 13-2014-00382 ❑ other: ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E-AN Other ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES 0 NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 5169 25 Sq.Ft 2097 Sq.Ft 3072 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $390,000.00 1 Ft. Ft PERMIT FEE $437.68 I, the undersigned, am the owner of the property or an - - - - - - - - r of the property. I certify that the work to be performed, a- as noted on the submitted plans and comply with the appl 'ilure to comply with any provision or condition of this permit ubject to enforcement action. I acknowledge that I am responsible for complying with on near or on wetlands, lakes, and streams. Wetlands tha 'fficult to identify. Failure to comply may result in removal or W or other penalties or costs. For more information, visit the 't www.dnr.state.wi.us or contact the Department of Natu I hereby consent to the entry on the permitted premises purposes of determining compliance with the zoning o • Owner&Agent hereby agree to comply with all Dane County SIG U- Ordinances.Any unauthorized change from the Information or / /1 plans submitted will Invalidate the permit 1 � 11 OFFICE USE ONLY orm :- sion 03 00 0 SURVEY REQUIRED 4 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 11/10/2014 RLB ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: