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NE COUNTY ZONING PERMIT = FEPMIT <br /> DCPZP-2015-00086 <br /> m,,,•• , .“,MVP !�_/i: I A^.,t;1-NE:L)1,Ti.P,:il:r, 1I1t110,1A'luN <br /> • R NAME. AGENT(CONTRACTOR NN//E PHONE <br /> BRIAN R Mdi t1' (608)837-4755 <br /> LUNG ADDRESS(Number.Street) ADDRESS(Number.Street) - <br /> 1610 ESKER TRL <br /> (City,Sate.Z;p) (City.State,Zip) <br /> COLUMBUS,WI 53925 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> brianmarquardt24q gmaILcom <br /> i'A[:CCL '.,) ..':'i`11 i' SECTION 1/4 1M 114 <br /> 0911-121-0120-0 TOWN OF BRISTOL 12 NE NE <br /> i'ROPEP,(n.Uut F:SS HOUSE NO. ST.DIRECTION )STREET NAME ST.TYPE <br /> (Assignment of new address le 1610 ESKER TRL <br /> subject to held verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 50 DRUMLIN CREEK <br /> ZONING DISTRICT IPARCEI.ACREAGE PROPOSED PROJECT: New SuucturetAdditioe CENSUS CODE <br /> A-1 Agriculture Description:24'it 16'x 14'res slur Shed 329-Other <br /> District <br /> Category ® Residential ❑ Corarnerclat ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> a outer: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway <br /> Et YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES fJ NO ❑ YES 0 NO Cl YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 14 Sq.R. Sq.FI.384 <br /> 384 <br /> PROJECT COST <br /> NO.OF STORIES r2nd FLOOR 3rd FLOOR $13,500.00 <br /> 1 Sq.Ft. S9.Ft_ PERMIT FEE <br /> $78.80 <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 subject <br /> 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 difficult <br /> to identify. Failure to comply may result In removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> www.dnula g,wi.vs 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 8 Agent hereby agree to comply with all Dare County SION RE: erlAgent DATE: <br /> Ordinances.Any unauthorized change from the information or • <br /> plans submitted will Invalidate the permit. —13-t S <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> YES 0 NO O3101V2015 111.11 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initial <br />