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DANE COUNTY ZONING PERMIT DCPZP 2015-00331 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KEVIN W OPPERMANN (414)659-2676 THE JONES CO LLC (608) 695-3497 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2586 LALOR RD 2266 S SYENE RD <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 FITCHBURG, WI 53711 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> KEELYOPPERMAN @GMAIL.COM MJDSYENE @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0610-073-9560-5 TOWN OF DUNN 7 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2586 LALOR RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-3A Residence 37 Description:ADDN TO SFR 434- Residential Addition <br /> District <br /> Category 0 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Other: <br /> Private 13-2015-00091 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 4710 ❑ 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 /> 2708 <br /> 28 Sq.Ft.990 Sq.Ft.990 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $210,000.00 <br /> 2 Sq.Ft.728 Sq.Ft. PERMIT FEE <br /> $253.10 <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 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 111 NATURE: Owner/ ge t 'ATE: <br /> Ordinances.Any unauthorized change from the information or ,(6 C/�� '-/N7//� <br /> plans submitted will invalidate the permit. � ,,, ci <br /> OFFICE USE ONLY (form version 01.00 07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st Il �lp D INITIA- j-`' <br /> 05/26/2015 HJ H 3 ���fff��f����� i <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd I TI% I• E INITI• <br /> nitials: <br />