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DANE COUNTY ZONING PERMIT DCPZP2015 00620 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DANIEL L FINLEY (608) 845-3501 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2729 COUNTRY VIEW RD <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DJFINLEY @TDS.NET . <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0608-083-9340-4 TOWN OF VERONA 8 SW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2729 COUNTRY VIEW RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M. ■O.or PLAT NAME <br /> 2 CSM 06126 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 2.6 Description:DECK 329-Other <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 4690 1 ❑ 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 /> 380 <br /> 1 Sq.Ft. Sq.Ft.380 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $3,500.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $78.50 <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 co lying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. W tlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may re ult in removal or modification of construction that violates <br /> the law or other penalties or costs. For mor information, visit the Department of Natural Resources web <br /> page at www.dnr.state.wi.us or contact the epartment 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 SIGNA d - : Owner/Age ' DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. • G- o Nr- / *DO//201cr <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 08/11/2015 PMK2 <br /> ❑ YES gel NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: S <br />