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DANE COUNTY ZONING PERMIT DCPZGPERrU NO. Page 1 of 2 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ALTERRA DESIGN HOMES LLC (608) 220-:391 ALTERRA DESIGN HOMES LLC <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2972 COUNTY HIGHWAY MM 2972 COUNTY HIGHWAY MM <br /> (City,State,Zip) (City,State,Zip) <br /> FITCHBURG, WI 53711 FITCHBURG, WI 53711 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> • 0708-203-0079-0 TOWN OF IDDLETON 20 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3862 BAY LAUREL LN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NIO.or PLAT NAME <br /> 19 SPRUCE HOLLOW <br /> ZONING DISTRICT PARCEL ACREAGE <br /> PROPOSED(PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture 0.751 Description: bdrm SFR+front,rear porch 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agr cultural <br /> SEWER SANITARY PERMIT NO. <br /> Private 138.2015-00255 <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NOO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> ❑ YES 10 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 /> 5393 <br /> 26 Sq.Ft.147i Sq.Ft.2757 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 1 3rd FLOOR $375,000.00 <br /> 2 Sq.Ft. 11651 Sq.Ft. PERMIT FEE <br /> $454.47 <br /> I, the undersigned, am the owner of the prop rty or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be pe <br /> i. <br /> ormed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply wit the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of t is permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge that I am responsible for com lying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. We lands 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 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/A•ent DATE: <br /> Ordinances.Any unauthorized change from the information or /y <br /> plans submitted will invalidate the permit. ` 4// <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ® `{ES ❑ NO REVIEWED <br /> 08/10/2015 SJW3 <br /> (,/t/J DATE REVIEWED , INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />