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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 <br /> DCPZP-2015-00065 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME <br /> JOSEPH D HAMILTON (608)609-6919 ACKER BUILDERS PHONE <br /> BILLING ADDRESS(Number,Street) <br /> 668 LOAN OAK LN ADDRESS(Number,Street) <br /> (City,State,Zip) <br /> VERONA, WI 53593 (City,State,Zip) <br /> E-MAIL ADDRESS <br /> E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 <br /> 0708-301-6755-0 30 1S SE Ea <br /> TOWN OF MIDDLETON NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME <br /> (Assignment of new address is ✓ 3642 KEMPFER ST.TYPE CT <br /> subject to field verification.) <br /> LOT 'BLOCK I C.S.M.NO.or PLAT NAME <br /> 15 CHERRYWOOD FOREST <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition <br /> Single Family Residence and deck,screen porch CENSUS CODE <br /> A-1 Agriculture 0.8 Description:Sin <br /> District 101 -SFR (detached) <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER <br /> SANITARY PERMIT NO <br /> ❑ Other: Private 13-2015-00033 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. <br /> C-Town Road VARIANCE NO. DEED RESTRICTION <br /> ❑ YES ® NO <br /> SHORELAND <br /> FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO 0 YES ❑ NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR <br /> TOTAL SQUARE FEET <br /> 26 sq.Ft.2582 sq.Ft.3868 6450 <br /> PROJECT COST <br /> NO.OF STORIES <br /> 2nd FLOOR 3rd FLOOR $577,698.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $533.75 <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 SIGNNATTUU E: Owner/Age D�j T <br /> Ordinances.Any unauthorized change from the information or �T <br /> plans submitted will invalidate the permit. 0 ' <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE <br /> 02/23/2015 SSA1 INITIALS <br /> YES ❑ NO DATE REVIEWED INITIAL <br /> �/1�_ 2nd INSPECTION DATE INITIALS <br /> Initials: n f * 2 <br />