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DANECOUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2015-00140 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME' <br /> MREC VH MADISON LLC (608)226-3100 PHONE <br /> BILLING ADDRESS(Number,Street) <br /> 6801 SOUTH TOWNE DR ADDRESS(Number,Street) <br /> (City,State,Zip) <br /> MADISON,WI 53713 (City,State,Zip) <br /> E-MAIL ADDRESS <br /> E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 <br /> 0708-203-6243-0 20 1/4 1/4 <br /> TOWN OF MIDDLETON SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME <br /> (Assignment of new addre to 3789 SILVERBELL ST RD <br /> subject to field verification.) <br /> LOT 'BLOCK I C.S.M.NO.or PLAT NAME <br /> 113 SPRUCE HOLLOW <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition <br /> A-1 Agriculture .8 Description:SFR W/DECK CENSUS CODE <br /> District 101 -SFR(detached) <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2015-00067 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. <br /> E-AII Other VARIANCE NO. DEED RESTRICTION <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES 0 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR <br /> TOTAL SQUARE FEET <br /> 26.75 Sq.Ft 1604 Sq.Ft.2962 5949 <br /> PROJECT COST <br /> NO.OF STORIES <br /> 2nd FLOOR 3rd FLOOR $471,336.00 <br /> 2 Sq.Ft 1383 Sq.Ft. PERMIT FEE <br /> $496.18 <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.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 r_w , <br /> Ordinances.Any unauthorized change from the information or ' - ( f`° s -. 4= <br /> plans submitted will invalidate the permit. <br /> /_' <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS <br /> ® YES NO 03/31/2015 HJH3 1st INSPECTION DATE INITIALS❑ O DATE REV' INITIALS 2nd INSPECTION DATE <br /> ° ,i,;" 4 :. � _ ` INITIALS <br />