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DANE • OUNTY ZONING PERMIT ZONING PERMIT NO Page 1 oft <br /> DCPZP-2015-00166 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MREC VH MADISON LLC Florence Garcia <br /> BILLING ADDRESS( umber,Street) ADDRESS(Number,Street) <br /> 6801 SOUTH TI WNE DR <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI '3713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> fgarcia @veridlia homes.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0708-20 -6188-0 TOWN OF MIDDLETON 20 SW SE <br /> PROPERTY..()DRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new.•dress is 3788 BAY LAUREL LN <br /> subject to field veAfic,Lion.) <br /> LOT C.S.M.NO.or PLAT NAME <br /> 108 1BLOCK <br /> SPRUCE HOLLOW <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agricul U - Description:sfr w/cov frt por,no deck 101 -SFR(detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ her: <br /> Private <br /> ROAD CLASSIFICP/TI0N REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Oth Dr <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3. Sq.Ft.1503 Sq.Ft.2513 <br /> 5398 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $427,514.00 <br /> Sq.Ft.1382 Sq.Ft. PERMIT FEE <br /> $454.85 <br /> I, the undersi•ned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the -ubmitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply w t any provision or condition of this permit renders this zoning permit null and void and subject <br /> to enforcem a t action. <br /> I acknowled g= that I am responsible for complying with State and Federal laws concerning construction <br /> near or on we lands, lakes, and streams. Wetlands that are not associated with open water can be difficult <br /> to identify. F. lure to comply may result in removal or modification of construction that violates the law or <br /> other penalt a or costs. For more information, visit the Department of Natural Resources web page at <br /> www.•nr.st.t:,.wi.0 or contact the Department of Natural Resources Service Center. <br /> I hereby cons nt to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of d: termining compliance with the zoning ordinances. <br /> Owner&Agent hCr=by agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any u :uthorized change from the information or <br /> plans submitted it invalidate the permit. <br /> OFFICE USE ONLY (form version 03 00.07) <br /> SURVEY REQUIRED. DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/13/2015 RLB <br /> ® 'E- ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />