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DCPZP-2014-00893
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DCPZP-2014-00893
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12/11/2014 9:54:29 AM
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12/9/2014 11:44:50 AM
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DCPZP-2014-00893
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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Pagelof2 <br /> DCPZP-2014-00893 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PI TONE <br /> DANIEL K BOEHNEN (608) 219-8048 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 101 ,ND ST <br /> (City,State,Zip) (City,State,Zip) <br /> NEW GLARUS, WI 53574 <br /> EMAIL ADDRESS E-MAIL ADDRESS <br /> db.dovetaillIc @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0907-134-9175-0 TOWN OF ROXBURY <br /> 13 SE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME SI 1∎I E <br /> (Assignment of new address is 8044 Lueth RC) <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 10506 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-2 Rural Homes 8.07 Description:sfr 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private 13201400347 <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 8345 <br /> YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO 0 YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7738 <br /> 19 Sq.Ft.2508 Sq.Ft.5230 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $300,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $630.35 <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 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 SIGN • . O • e •gent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. `/, �Z / / <br /> OFFICE USE ONLY (form version 03.00.071 <br /> SURVEY REQUIRED? DATE ISSUED 'INITIALS 1st INSPECTION DATE INITIALS <br /> 11/21/2014 SCW1 <br /> ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE ' INITIALS <br /> Initial � /s�� <br />
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