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A.•lication Number:APP-38506 <br /> ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 2 oft ZP20090658 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> NATHAN BERGE (920)650-0263 KASSONDRA FARNSWORTH (920)397-0105 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2709 CLEARVIEW RD W7896 SCHEPPERT ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> CAMBRIDGE,WI 53523 FORT ATKINSON,WI 53538 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0712-333-8185-0 DEERFIELD 33 SW NE <br /> OFFICE USE ONLY <br /> Conditions: <br /> 3.SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE <br /> SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY <br /> DANE COUNTY ZONING WHEN THE FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES <br /> NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME THE LOCATION OF THE STRUCTURE IS ESTABLISHED, <br /> AND BEFORE ANY OTHER WORK IS DONE. <br /> INITIALS: <br /> ti <br /> 545-114(12/05) GCS-multi <br />