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DANE COUNTY ZONING PERMIT DCPZP- ERMITNO. Page 1 of 2 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STEVEN MULCAHY (608) 576-4738 <br /> BILLING ADDRESS(Number,Street) ,�, d ADDRESS(Number,Street) <br /> (al1O W01 - \k0��0(i.J Kd <br /> (City.State lint (City,State,Zip) <br /> w•Maser; k)1 S r" <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DEM ULCAHY @GBCGLOBAL.N ET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0910-294-2315-0 TOWN OF WINDSOR 29 SE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 8708 WOLF HOLLOW RD <br /> subject to field verification.) <br /> ■ <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 95 WOLF HOLLOW <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-3A Residence .275 Description <br /> I aI .�District Vitemittrptex <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Public 6669/6670 <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-Ali Other ( ❑ YES ® NO <br /> SHORELAND FLOOD ZONE 1 POt WETLAND EC/SW NO. <br /> ❑ YES la NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 20 Sq.Ft 144 Sq.Ft. 1 t7[ <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR 1 !t eA) <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> y ./) 11 Le o <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 ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County G/,; : OwneflAgent • •TE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit A 11/ 6-/8-6- . <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? ` � DATE ISSUED INITIALS 1st IN PECTION DATE INITIALS <br /> ® YES l�rf NO 09/29/2014 <br /> / DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br />