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Jul. 7. 2015 2: 22PM No. 0493 P. 2 <br /> DANE COUNTY ZONING PERMIT DCPZP`2015-00499 Pr'Ic' t Cf 2 <br /> CrANl 1'INrO121%1L.TION AGEN1R;,71N'IF ACT< R,N ORttATtoN <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MAPLE GROVE FARM LLC (608)358-7164 HEiO1 KUHMAN (608)358-7164 <br /> BILLING ADDRESS(NUmenr.Shea!) ADDRESS(Number,Meet) <br /> 964 COUNTY HIGHWAY T 964 COUNTY HIGHWAY T <br /> ICS?,Stale,Zip) (City,State,Zia) <br /> MARSHALL,W153559 MARSHALL,WI 53559 <br /> E-MAIL ADDRESS EMAIL.AGGRESS <br /> HKUHMAN@GMAlL.COM HKUHMAN©GMAIL,COM • <br /> SECTION 1f1 1,41/4 <br /> 0811-173-8640-0 TOWN OF SUN PRAIRIE 17 SW NW <br /> PROPEk1YALL)1::-SS HOUSE NO. ST.DIRECTION STREET NAME ST.NPE <br /> (Assignment M Devi address is 2881 BAILEY RD <br /> eublot t to Aetd wddrieetien.) <br /> LOT BLOCK C.S NO.of PLAT NAME I <br /> J M <br /> 2 CSM 13977 <br /> ZONING DISTRICT JARCEL PROPOSED PROJECT: NewatruclurewAddldon 'CENSUS CODE <br /> R-1 A Residence 1 oeseaption7$Winn SFR*Wont porch,rear deck 101 -SFR (detached) <br /> District <br /> Calepory 0 nesidanou [I Commercial ❑ Agriculivrel SEWER SANITARY PERMIT NO. <br /> Mar: Private 13-2015-00212 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO VARIANCE NO DEED RESTRICTION <br /> C-Town Road 10811 <br /> D Yes 0 No <br /> 6HORELAND FLOOD ZONE WETLAND ECISWNO. <br /> o YES SS ND I7 TES 0 NO 0 YES (a NO <br /> HEIGHT(In Feet) BASEMENT 1sl FLOOR TOTAL SQUARE FEET <br /> 17 sq.Ft.2120 Sq.Ft.4193 <br /> 6313 <br /> PROJECT COST <br /> NO,OF STORIES 2nd FLOOR 3rd FLOOR 5280,000.00 <br /> 1 5q,Fl. Sa,FI. PERMIT FEE <br /> 5523.47 <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 identity. 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.ug 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 /> • <br /> Owner&Agent hereby agree to comply with all Dane County `SIGN : :0 nor/• •4• <br /> Ordinances_*Dimwi Any unauthorized ill Inv the per front the Information or �i ���- /8 <br /> plans iublttitted wil!invalidate the permit. `/ <br /> OrrICE- JSE CNLY (torn'. isrston 03.0)07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS lel INSPECTION DATE INITIALS <br /> 07,07/2916 SJW3 <br /> a YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> inmate <br /> suapJe0 gtayuoyoS Wdzj, :t, S1O0 LO inr <br /> z •d S866I�b309 <br />