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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 <br /> DCPZP-2014-00901 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WINDSOR QUARRY LLC AMBIANCE HOMES INC (608) 225-4594 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4607 OAK SPRINGS CIR 5838 GRASSLAND TERRACE <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST, WI 53532 MARSHALL, WI 53559 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AMBIANCEHOMESINC @CHARTER.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-193-0067-0 TOWN OF BRISTOL 19 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address is 3092 PARKER PASS <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 7 PARKER'S PLACE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture .77 Description:SFR W/SCREEN PORCH W/DECK 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT No <br /> ❑ Other: <br /> Private 13-2014-00407 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> ❑ YES p NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES l0 NO ❑ YES 0 NO 0 YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4934 <br /> 16.25 Sq.Ft. 1842 Sq.Ft.3092 <br /> PROJECT COST ,[/Qcoo <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error I <br /> t <br /> 1 Sq.Ft. Sq.Ft. PER VIT FEE <br /> S420 05 <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 weh <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 ordina ces. <br /> Owner&Agent hereby agree to comply with all Dane County IG 'ATURE: 0 •r/A• -n + 'ATE(, Z/ / <br /> Ordinances.Any unauthorized change from the information or (7J <br /> plans submitted will invalidate the permit. • `/ <br /> OFFICE WE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 12/02/2014 H J H 3 <br /> flow4alei YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIAL S <br />