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DANE COUNTY, WISCONSIN <br /> APPLICATION FOR: ZONING PERMIT PERMIT#: 1211-200 <br /> PARCEL NUMBER MUNICIPALITY SEC 1/4 of 1/4 <br /> 070830187000 Town of Middleton 30 NW NE <br /> PROPERTY ADDRESS: 3728 SWOBODA RD <br /> (Assignment of new address is subject to field verification) <br /> Lot: 1 Block: Plat: <br /> CSM#: 9582 Parcel area: Old PMT#: Census cd: 101 <br /> Proposed use: Single Family Res New: Agricultural <br /> Sewer: Priva ounty P#rmi't# 0 Zoning District:t. A-1 <br /> Road Classifi on: E Road right-of-way Width: 66 <br /> Conditional use permit #: 0 Variance: <br /> Shoreland: Floodzone: Wetland: <br /> Sq ft. area Basment: 1440 1st. 2502 2nd. 851 Total 4793 <br /> Dimensions: 52 . 000 X 84.000 Stories: 2 Feet: 0. 000 <br /> Project cost: 175, 000 Permit Fee: 287.58 Sq ft area: 8736. 000 <br /> OWNER and AGENT hereby agree to comply with all WISCONSIN County <br /> ordianances. Any unauthorized change from the information or plans submitted <br /> will invalidate the permit. <br /> OWNER: AGENT: <br /> SCOTT THEIS <br /> 8821 MINERAL POINT ROAD <br /> VERONA WI 53593 <br /> SIGNATURE: Owner/Agent L��`� <br /> Rural address #: Y Post required: Y Installed: 11/14/2000 <br /> Issued: 11/14/2000 By: PDA Reviewed: /( /xl/ Ob Byi-A.---. <br /> 1st inspection: / /3//oz _ By: S/�S Setback: .� <br /> L y . <br /> 2nd inspection: I /3i / 0(..._ By: fj R yd: — Rear: <br />