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DANE COUNTY ZONING PERMIT DCPZP 2015 00328 Page of <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> FEENEY REV HOME TR,WILLIAMP&BARBARA A (608)455-1331 MICHAEL SCHMUDLACH (608)455-2700 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 460 WINDMILL RD 538 WINDMILL RD <br /> (City,State,Zip) (City,State,Zip) <br /> BROOKLYN, WI 53521 BROOKLYN, WI 53521 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0510-301-9050-7 TOWN OF RUTLAND 30 NE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 460 WINDMILL RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 04488 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> RH-3 Rural Homes 15.6 Description:12x16 rear yard porch addn 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 /> C-Town Road 3281 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 192 <br /> 15 Sq.Ft. Sq.Ft. 192 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $15,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $64.40 <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 ore inances. <br /> Owner&Agent hereby agree to comply with all Dane County SI it"' a* •ge/tom Id TE: 7 <br /> Ordinances.Any unauthorized change from the information ore I ,r <br /> plans submitted will invalidate the permit ✓ �� `'y , / <br /> OFFICE USE ONLY (form vers;;on 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 05/26/2015 SJ W 3 <br /> El YES WI NO DATE REVIEWED r INITIALS 2nd 2nd INSPECTION DATE INITIALS <br /> Initials: �. _5- 617- IS 1 r/1 �1yy <br />