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DANE COUNTY ZONING PERMIT DCPZP20151057 :' . , ,>. . ' 19 <br /> OWNER INFORMATION .. .. s . <br /> AGENT/CONTRACTOR INFORMATION' =f <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TIM OBRIEN HOMES (608) 661-1100 SUE FROHLING (608) 661-1100 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4868 HIGH CROSSING BLVD 4868 HIGHWAY CROSSING BLVD <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53704 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 /> 0910-294-4029-0 TOWN OF WINDSOR 29 SE S`A/ <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TY 'E <br /> (Assignment of new address is 6650 DUSKY GLN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 275 CSM 13792 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-2 Residence 0.56 Description: 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO <br /> ❑ Other: <br /> Public <br /> . ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED REST 2ICTI)N <br /> E-All Other 9229 <br /> I_I YES I% NC <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 /> 4491 <br /> 28 Sq.Ft. 1221 Sq.Ft.2074 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR .3rd FLOOR $251,270.00 <br /> 2 Sq.Ft. 1196 Sq.Ft. PERMIT FEE <br /> $386.83 <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 con: tructec as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that f,iilure <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 /> )urposes of determining compliance with the zoning ordinances. <br /> vner&Agent hereby agree to comply with all Dane County SIGNATURE: •wner/A.-nt DAT V. <br /> finances.Any unauthorized change from the information or `/ ` / r T' <br /> is submitted will invalidate the permit. i <br /> OFFICE USE ONLY (form version 03.00.07) <br /> 'EY REQUIRED? DATE ISSUED INITIALS 1 INSPECTION DATE INITIALS <br /> 04/09/2015 SSA1 <br /> ® Y ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> )) IS I _ <br />