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DANE COUNTY ZONING PERMIT ZONING PERMIT <br /> 00336 Page 1of2 <br /> OWNER INFORMATION ! AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> RYAN SHEA (608) 843-2427 ACKER BUILDERS (608) 850-6650 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4017 AMBLESIDE DRIVE 331 E MAIN STREET <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53718 WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> staff @ackerbuilders.corn <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-301-6612-0 TOWN OF MIDDLETON 30 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3632 WELCOME DR <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 2 CHERRYWOOD FOREST <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture 0.646 Description:SFR with front porch and back deck 101 -SFR (detached) <br /> District <br /> Category IZI Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2014-00113 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 25 Sq.Ft. 1475 Sq.Ft.2672 5486 <br /> j <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $408,000.00 <br /> 2 Sq.Ft. 1339 Sq.Ft. PERMIT FEE <br /> $461.45 <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 SI UREOwneLetl D .TE: <br /> Ordinances.Any unauthorized change from the information or -, , �i'✓ / <br /> plans submitted will invalidate the permit. <br /> OFFICE USE ONLY (form version 03 00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT N rE INIT .� <br /> ❑ YE ® NO 06/05/2014 SJW3 `� J� <br /> DATE REVIEWED /,`/ INIT 4w) 2nd I �j E INITIALS <br /> \Onitials: ce l � pA J <br /> L v 2 (21(60_` _ <br /> NSD S if-e- r was <br />