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DANE COUNTY ZONING PERMIT DCPZP20 5-00782 Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOSEPH J BONFIELD (608)834-2972 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4250 COUNTY HIGHWAY TT <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jbonfield @uwhealth.org <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-314-9600-8 TOWN OF SUN PRAIRIE 31 SE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 4250 COUNTY HIGHWAY TT <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.N o.or PLAT NAME <br /> 1 CSM 02938 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED•ROJECT: Alteration to existing building CENSUS CODE <br /> A-1 Ex Exclusive Ag Description:m.t bdrm,bath rm,mech rm,gar addn to sfr 438-Garage <br /> District <br /> Category I 1 Residential ❑ Commercial ❑ Agri.ultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other: <br /> — <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ❑ NO ❑ Ym ❑ NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 2684 <br /> Sq.Ft. Sq.Ft.1946 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $88,451.00 <br /> 2 Sq.Ft.738 Sq.Ft. PERMIT FEE <br /> $251.30 <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 perf•rmed, 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 th s permit renders this zoning permit null and void and subject <br /> to enforcement action. <br /> I acknowledge that I am responsible for comp ying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetl nds that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in re oval 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.wi.us or contact the Departme t 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 SI N• " RE' • :n • •T : <br /> Ordinances.Any unauthorized change from the information or r�/ <br /> plans submitted will invalidate the permit. 1,� -. tab•-• ,%p,5-d`� <br /> OFFICc USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/25/2015 RLB <br /> ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> 1V <br /> Initials: <br /> Ap, <br />