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DCPZP-2015-00042
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DCPZP-2015-00042
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3/3/2015 12:56:21 PM
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3/2/2015 2:32:44 PM
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DCPZP-2015-00042
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DANE COUNTY ZONING PERMIT DCPZP 2015 00042 Pagel oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SCOTT E NYLAND (608) 222-8044 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3128 VIEW RD <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53711 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SCOTT @SRREMODELI NG.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-062-2980-4 TOWN OF DUNN 6 NW NW <br /> f <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3128 VIEW RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 40 MEADOW VIEW-1ST ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-1A Residence t4 Description:HOME ADDITION 434- Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other 10727 ❑ 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 /> 784 <br /> 16 Sq.Ft. Sq.Ft.784 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $25,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FED <br /> $108.80 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalffof 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 ordinanc- . <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU- : Ow i Agent . DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> /5-- <br /> plans submitted will invalidate the permit. - <br /> 4 i' <br /> OFFICE USE O?ILY (form versior 03.1/0.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIA 1st INSPECTION DATE INITIALS <br /> 02/03/2015 PMK2 <br /> ❑ YES la NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 5 A) <br />
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