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DANE COUNTY ZONING PERMIT DCPZP 2015700196 Page 1 oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOSEPH M LEE (608)442-3860 Degnan Desing Builders (608)846-5963 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3235 HARMONY ST 134 Etheen Place <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 De Forest, WI 53532 <br /> E-MAIL•DDRESS E-MAIL ADDRESS <br /> - . 6� _-=•_— eM �kf _aka —ap.coY1'1 amy @degnandesignbuilders.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0810-022-0034-0 TOWN OF BURKE 2 NW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6444 IRVING DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 4 GEHRKE'S KNOLL <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture Description:sfr w/cov frt por,steps,at-grade patio <br /> District 0 , 1f 1 <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private 13-2014-00428 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ❑ YES 9 NO YES ❑ NO dcpshl-2015-00015 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7374 <br /> 30 Sq.Ft.2148 Sq.Ft.3394 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $400,000.00 <br /> 2 Sq.Ft.1832 Sq.Ft. PERMIT FEE r <br /> $ L0©3.0.� <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 subject <br /> 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 difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> 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 SIGN y • Owne •ent DATE: <br /> Ordinances.Any unauthorized change from the information or / ' \/ / z 2 <br /> plans submitted will Invalidate the permit. `�// <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/22/2015 RLB <br /> ® YES ❑ NO <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initial <br />