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DCPZP-2015-00289
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DCPZP-2015-00289
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5/15/2015 4:00:29 PM
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DCPZP-2015-00289
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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2015-00O. <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DOUGLAS A STRONACH (608) 873-9219 JEFFREY ARNESON (608) 873-8248 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 971 COTTONWOOD DR 1960 COUNTY HIGHWAY N <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 17 NE SW <br /> 0511-171-4920-0 TOWN OF DUNKIRK <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 971 COTTONWOOD DR <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 10 14 RWERWOOD ESTATES-2ND ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-1 Residence .5 Description:REPLACE DECK AND DECK ADDN 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 2014 0 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 490 <br /> 2 Sq.Ft. Sq.Ft.490 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $6,500.00 <br /> 1 PERMIT FEE <br /> sq.Ft. sq.Ft. $86.75 <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 Cc,unty zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU r w ' = ent DATE: <br /> Ordinances.Any unauthorized change from the information or , � ��J' ?5—/ /5-----plans submitted will invalidate the permit. // <br /> OFFICE USE Ol`;L'i (form version 02.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS t 1st INSPECTION DATE INITIALS <br /> 05/13/2015 HJH3 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> yi,c Initial, <br />
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