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DANE COUNTY ZONING - ERMIT DCPZP 2015-00667 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME <br /> DOVETAIL DEVELOPMENT INC CLEARY BUILDING CORP PHONE <br /> (608)845-9700 <br /> BILLING ADDRESS(Number,Street) <br /> 2398 SHERIDAN DR ADDRESS(Number,Street) <br /> 190 PAOLI STPO BOX 930220 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON,WI 53704 VERONA, WI 53593 <br /> E-MAIL ADDRESS <br /> E-MAIL ADDRESS <br /> JGunders@clearybuilding.com <br /> PARCEL NO TOWN SHIP SECTION <br /> 1/4 1/4 1/4 <br /> 0810-191-6089-6 TOWN 0 BURKE 19 NE SE <br /> PROPERTY ADDRESS HOUSE NO ST DIRECTIO STREET NAME <br /> (Assignment of new address is 4578 ST TYPE <br /> subject to field verification.) DOVETAIL DR <br /> LOT BLOCK 1 f C S M N. or PLAT NAME <br /> 9 DOVETAIL SUBDIVISION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED-ROJECT: New Structure/Addition <br /> CENSUS CODE <br /> C-2 Commercial 5.9 <br /> Description:p-rsonal storage and work space7 329-Other <br /> District e <br /> v <br /> Category ❑ Residential ® Commercial ❑ Agri ultural SEWER SANITARY PERMIT NO <br /> ❑ other: Public <br /> ROAD CLASSIFICATION REZONE NO C U P NO VARIANCE NO <br /> E DEED RESTRICTION <br /> -All Other 827 <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO <br /> ® YES 0 NO ❑ YES ® NO ® Ye. 0 NO DCPSHL-2015-00055 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 24 Sq,Ft Sq Ft 3365 4165 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $470,000.00 <br /> 1 Sq Ft 800 Sq Ft PERMIT FEE <br /> $1140.00 <br /> I, the undersigned, am the owner of the prope y or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be perfo med, 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 thi. permit renders this zoning permit null and void and subject <br /> to enforcement action. <br /> I acknowledge that I am responsible for comp) ing with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Weti-nds that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in rempval or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> www.dnr.state,w'.us or contact the Departmeni of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane C9 my zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> 1 <br /> Owner&Agent hereby agree to comply with all Dane County S tSNAT RE:Owner/Aye t DATE• <br /> Ordinances.Any unauthorized change from the information or / <br /> plans submitted will invalidate the permit. / Z---,0----- <br /> ,-_—,,0--- - `-- 5/ /r— <br /> ■ <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY RE. 07 DATE ISSUED I ITIALS 1st INSPECTION DATE INITIALS <br /> �� 08/24/2015 S JW3 <br /> / ❑ NO DATE REVIEWED I ITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: ` \\\-6 <br />