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DCPZP-2014-00895
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DCPZP-2014-00895
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12/11/2014 9:54:17 AM
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12/9/2014 11:49:35 AM
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DCPZP-2014-00895
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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ,.Pas; o <br /> DCPZP-2014-00895 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION "'r'$"a r{,'` <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DALE D SECHER (608) 235-1632 Seth Statz Construction (608) 347-0472 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5683 LINCOLN RD 4893 Pikes Peak Road <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 Ridgeway, WI 53582 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> carandal @chorus.net statzconstruction @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 16 NW SE <br /> 0509-162-9620-0 TOWN OF OREGON <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST. '/Hi <br /> (Assignment of new address is TIPPERARY RD <br /> subject to field verification.) l 04/C _ <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 13826 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-2 (2)Agriculture j Description:Sfr 101 -SFR (detached) <br /> District /02-- <br /> Category ® Residential 0 Commercial ❑ Agricultural SEWER SANITARY PERMIT NO <br /> 0 Other: <br /> Private 13-2014-00385 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> C-Town Road 10692 l7 YES NC <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES )J NO 0 YES © NO 0 YES © NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3288 <br /> 20 Sq.Ft. 1152 Sq.Ft.2136 , <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $234,000. 0 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE oi ( 6 0 <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 ordinances. __ <br /> Owner&Agent hereby agree to comply with all Dane County GN• URE: Owner/Age DATE: <br /> Ordinances.Any unauthorized change from the information or .., <br /> plans submitted will invalidate the permit. / `OI 1/0(A— ' ' //-2 ` •2o/ j. <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 11/24/2014 SC W 1 <br /> Zs*. ® NO DATE REVIEWED '/ INITIALS 2nd INSPECTION DATE INITIALS or <br /> Initial I I ^ ?L/ 1`Y c)A <br />
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