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DANE COUNTY ZONING PERMIT DCPZP-2015-00612 Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAMES H PERRY BUDGET BUILDERS REMODELING LLC (608) 732-8768 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 7769 CHERRYWOOD LN 90 W MADISON ST <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 PLATTEVILLE, WI 53818 • <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CT.ONEILL72 @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-304-3001-6 TOWN OF MIDDLETON 30 SE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7769 CHERRY WOOD LN <br /> subject to field verification.) <br /> LOT BLOCK 1 C.S.M.NO.or PLAT NAME <br /> 1 CHERRYWOOD- <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-1 Residence 0.481 Description:bedroom and garage home addition 434- Residential Addition <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 /> E-All Other 1971 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES @ NO ❑ YES ® NO 0 YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 717 <br /> 16 Sq.Ft. Sq.Ft.717 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $61,000.00 <br /> 1 sq.Ft. Sq.Ft. PERMIT FEE$103.78 <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 ■ ww.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 SIGN' •JJ'• -r/A DATE: <br /> Ordinances.Any unauthorized change from the information or %1 ./ �� I, <br /> plans submitted will invalidate the permit. 1 <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 08/10/2015 SJW3 <br /> mil0 YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: L✓ 3 � � „ <br />