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DANE COUNTY ZONING PERMIT ZONING PERMIT <br /> 00028 Page oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WOLF HOLLOW WINDSOR LLC (608)661-1100 TIM OBRIEN HOMES (608)661-1100 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> N27W24075 PAUL CT STE 200 4868 HIGH CROSSING BLVD <br /> (City,State,Zip) (City,State,Zip) <br /> PEWAUKEE, WI 53072 MADISON, WI 53704 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SFROHLING @TOBHOMES.COM SFROHLING @TOBHOMES.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0910-294-4007-0 TOWN OF WINDSOR 29 SE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 6662 DUSKY GLN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME . <br /> 272 CSM 13792 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-2 Residence .5 Description:SFR WITH FRONT PORCH 101 -SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Other: Public 6212 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other 9299 (] YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES RI NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 21 Sq.Ft.1800 Sq.Ft.2641 <br /> 4441 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $237,738.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $383.08 <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 SIGNAT RE: O . eNAg nt , DATE: <br /> Ordinances.Any unauthorized change from the information or sk <br /> plans submitted will invalidate the permit. A // "-A____ /-z3/5 <br /> OFFICE USE ONL`. (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 'v t INSPECTION DATE INITIALS <br /> YES El NO 01/23/2015 PMK2 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: I I gti f i c cLE <br />