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DANE COUNTY ZONING PERMIT DCPZP-2015-00385 Page 1 oft <br /> OWNER INFORMATION l AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME <br /> ANDREA M ANDREE PHONE AGENT/CONTRACTOR NAME PHONE <br /> (608)279-5640 CRAIG ANDREE <br /> BILLING ADDRESS(Number,Street) <br /> 1962 WENDT RD ADDRESS(Number,Street) <br /> (City,State,Zip) <br /> FITCHBURG,WI 53575 (CnY.State,Zip) <br /> E-MAIL ADDRESS <br /> CRAIGANDREE23@GMAIL.COM E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP <br /> SECTION 1/4 1141/4 <br /> 0608-344-8030-0 TOWN OF VERONA 34 SE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION <br /> STREET NAME <br /> (Assignment of new address is 1728 ST.TYPE <br /> subject to field verification.) RANGE TRAIL <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 2 <br /> ZONING DISTRICT CSM 11346 <br /> PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition <br /> RH-1 Rural Homes —et" / Description:SFR+back,front porch CENSUS CODE <br /> District Y 101 -SFR(detached) <br /> Category ® Residential ❑ Commercial f Agricultural (SEWER <br /> SANITARY PERMIT NO <br /> El Other Private 13-2015-00168 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. <br /> C-Town Road 9105 VARIANCE NO DEED RESTRICTION <br /> Id YES D NO <br /> SHORELAND FLOOD ZONE WETLAND <br /> EC/SW NO <br /> YES as NO ❑ YES NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT <br /> 1st FLOOR TOTAL SQUARE FEET <br /> 29 sq.Ft.2070 6540 <br /> Sq.Ft.3020 <br /> NO OF STORIES PROJECT COST <br /> 2 2nd FLOOR 3rd FLOOR #Error ■ 5 0,000, 00 <br /> Sq.Ft.1450 Sq.Ft. PERMIT FEE <br /> $540.50 <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 8 Agent hereby agree to comply with all Dane County <br /> Ordinances.Any unauthorized change from the information r SIGN RE:Owner/Age DATE: <br /> plans submitted will invalidate the permit. <br /> ii' a-Allr . /a "s-- <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS <br /> 06/08/2015 1st INSPECTION DATE INITIALS <br /> ❑ YES ® NO DATE REVIEWED SJW3 <br /> Initials: C/A /^ h /0 ,, g,�, INITIALS 2nd INSPECTION DATE <br /> (G 1 S + l INITIALS <br /> 'Pill( <br />