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DANE COUNTY ZONING PERMIT DOPNG E 5-00159 <br /> O. Pave 1of2 <br /> OWNER INFORMATION '.AGENTICONTRACTORINFORM 1Q <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STEVE P MCCLELLAND (608) 220-5228 INSTYLE SCREEN ROOM&DECK (608) 592-0056 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5821 WINCHESTER AVE 630 SUNRISE DR <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL, WI 53559 LODI, WI 53555 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DECKPRO @INSTYLEDECKS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-124-6622-8 TOWN OF SUN PRAIRIE <br /> 12 SE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME :'. ''1 );_ <br /> (Assignment of new address is 5821 WINCHESTER F,VE <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 12 DROVERS WOODS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-1 Residence .5 Description:SCREEN PORCH AND DECK ADDN TO SFR 434 - Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other 1520 _ vE, <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO <br /> ❑ YES ® NO ❑ YES 0 NO ❑ YES [Z1 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 280 <br /> 11.5 Sq.Ft. Sq.Ft.280 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $19,500.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $71.00 <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 (inderE,tand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null an:i vojd 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 agreo to comply with all Dane County 4IGNATU" •wner/` 4, n DATE: <br /> Ordinances.Any unauthorized change from the information or �� f <br /> plans submitted will invalidate the permit. -' — f - ♦— i <br /> OFFICE USE ONLY (form version 03.00.07) . <br /> SURVEY REQUI' I: DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/09/2015 HJ H 3 44❑/ ' S/ ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> 4 — — -- - <br />