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DANE COUNTY ZONING PERMIT DCPZP-2015700075 Page 1ot2 • OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MREC VH MADISON LLC (608)226-3100 ' BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 6801 SOUTH TOWNE DR (City,State,Zip) (City,State,Zip) MADISON,WI 53713 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0708-203-6100-0 TOWN OF MIDDLETON 20 SW SE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 3796 SILVERBELL RD subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 10 SPRUCE HOLLOW ZONING DISTRICT P RCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE A-1 Agriculture .75 Description:SFR WITH DECK AND PORCH 102-SFR(attached) District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Private 13-2015-00039 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E-All Other ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 30 Sq.Ft 1407 Sq.Ft.2512 5332 PROJECT COST NO.OF STORIES _ 2nd FLOOR 3rd FLOOR $471,000.00 2 eq.Ft 1413 Sq.Ft. PERMIT FEE $449.90 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. : Owner&Agent hereby agree to comply with all Dane County SI N•TU"E: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or t hl 2i/� I plans submitted will invalidate the permit. r ' ,� r .A�� / ` OFFICE USE ONLY (form version 03.00.07) SURVEY REQUIRED 4 DATE ISSUED INITIALS let I *y.49• / E INII';, ', p� 02/27/2015 PMK2 n� YES ❑ NO DATE REVIEWED INITIALS 2nd IN C 'I,, DATE INITIA S Initials:_ if4:2_,_ .