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DANE COUNTY ZONING PERMIT DCPZP 2015 00364 Pagel oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MEIER LIVING TR,MARLENE S (608) 833-0382 RAN CONSTRUCTION LLC (608)225-3543 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3829 PIONEER RD 6415 SHADY BEND ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> RNODORFT @MSN.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-203-8400-5 TOWN OF MIDDLETON 20 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3829 PIONEER RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 08453 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture 1.5 Description:14'X 24 GARAGE ADDITION 438-Garage <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO O YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 336 <br /> 13 Sq.Ft. Sq.Ft.336 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $23,500.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $75.20 <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 SIGNAT• - Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or , (/ <br /> plans submitted will invalidate the permit. Zoos <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPEgTIOON4m TE r f5 INITIA <br /> 06/02/2015 PMK2 <br /> imp YES ® NO DATE REVIEWED INITIALS 2nd INSPECTI DATE INITIgL r <br /> Initials: K (ltFt (G� '�C(J/ <br />