Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DEWALL LIVING TR,GREGORY&KAREN (608)423-3198 KAREN DEWALL (608)423-3198 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2276 STATE HIGHWAY 73 <br /> (City,State,Zip) (City,State,Zip) <br /> CAMBRIDGE, WI 53523 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SADEWALL @NETWURX.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0612-222-9000-7 TOWN OF CHRISTIANA 22 NW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2276 STATE HIGHWAY 73 <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-1 Ex Exclusive Ag 38.7 Description:20x18 home rebuild/addition-no new bedrooms 434- Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A-US or State Highway <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ❑ YES ® NO ❑ YES IZj NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1609.5 <br /> 26 Sq.Ft.536.5 Sq.Ft.536.5 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $82,000.00 <br /> 2 Sq.Ft.536.5 Sq.Ft. PERMIT FEE <br /> $170.71 <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 <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 /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owned en DATE: <br /> Ordinances.Any unauthorized change from the information or l/ / ) - <br /> plans submitted will invalidate the permit. i !.1i( � �, l'' <br /> l l �l �7 <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/14/2015 SJ W 3 <br /> x ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: S <br />