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DANE COUNTY ZONING PERMIT DCPZP 2014-00926 Pagel of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STATE AT MAIN DEVELOPMENT LLC WALDNER CONSTRUCTION INC (608)235-4371 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 200 N MAIN ST PO BOX 1103 <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS ' <br /> DANIELJWALDNER @YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0910-293-6678-0 TOWN OF WINDSOR 29 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4383 SCENIC VIEW RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 98 PRAIRIE CREEK SUBDIVISION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition <br /> R-4 Residence 0,22 CENSUS CODE <br /> Description:SFR+FRONT PORCH,BACK DECK 101 -SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Public 7036 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. <br /> E-All Other 9079 DEED RESTRICTION <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ❑ YES ® NO ❑ YES lii NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 24.5 Sq.Ft. 1184 Sq.Ft.2074 4439 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $260,000.00 <br /> 2 Sq.Ft. 1181 Sq.Ft. <br /> PERMIT FEE <br /> $382.93 <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 •TU- . Owner/Age t DATE: <br /> Ordinances.Any unauthorized change from the information o / /> <br /> plans submitted will invalidate the permit C ,► /a �(/ <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 12/30/2014 SJ W 3 <br /> ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> itials <br /> I <br />