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DANE COUNTY ZONING PERMIT ZONING PERMIT <br /> 015--ONO. Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DONALD J ESSER (608) 832-4432 ALL THINGS CONSTRUCTION (608)444-1913 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1436 STATE HIGHWAY 92 N8274 VALLEY VIEW ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, W 1 53593 NEW GLARUS, WI 53574 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> WHITETAILONE @HOTMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0507-)24-8010-0 TOWN OF PRIMROSE 2 SE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1446 STATE HIGHWAY 92 <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> CSM 12847 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 2 Description:SFR 101 -SFR (detached) <br /> District <br /> Category a Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private 13-2015-00225 <br /> ROAD CLASSIFICATEON REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> A-US or State Highway 10110 <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> EC2015-0262 <br /> ❑ YES a NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4256 <br /> 12 Sq.Ft. 1680 Sq.Ft.2576 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $225,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $369.20 <br /> I, the unde-s 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 wilh 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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted w4ll invalidate the permit. <br /> OFFICE USE ONLY (form version 6,5.00.07) <br /> SURVEY REQUIP,EC? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/20/2015 PMK2 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:/./J6 //- <br />