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DANE i OUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page lof2 <br /> DCPZP-2015-00508 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STEVE COTT"ELL (608) 845-7099 <br /> BILLING ADDRESS( umber,Street) ADDRESS(Number,Street) <br /> 7450 ROLLINe MEADOW RD <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI '3593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JVC7450 @G •IL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0608-'51-9690-9 TOWN OF VERONA 5 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of nØwddress is 7450 ROLLING MEADOW RD <br /> subject to field von ation.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 1 CSM 04822 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural H•mes 1.19 Description:27x30 residential shed 329-Other <br /> District <br /> Category 11 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Private <br /> ether: <br /> ROAD CLASSIFICATI•N REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Ro.. 2573 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES n NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 810 <br /> 2 Sq.Ft. Sq.Ft.810 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $17,500.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $110.75 <br /> I, the unders gned, 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 Wit any provision or condition of this permit renders this zoning permit null and void and <br /> subject to en orcement action. <br /> I acknowledg- that I am responsible for complying with State and Federal laws concerning construction <br /> near or on W:tlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to idz ntify. Failure to comply may result in removal or modification of construction that violates <br /> the law or of er 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 con-ent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of setermining compliance with the zoning •rdinan•z <br /> Owner&Agent he :by agree to comply with all Dane County, - 1 • I R:' 0 '' •g- D•TE• <br /> Ordinances.Any u authorized change from the information ) <br /> plans submitted W I invalidate the permit. ,NM <br /> OFFICE USE ONLY (form version J3.00.07) <br /> SURVEY REQUIRED 9 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/09/2015 SJ W 3 <br /> �(l t Y:S ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> l' Initials: )' • / )-V\5 D 714V <br /> • <br />