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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page lof2 <br /> DCPZP-2015-00651 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> VERIDIAN HOMES AB LLC (608)226-3100 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 6801 SOUTH TOWNE DR <br /> (City,State,Zip) '(City,State,Zip) <br /> MADISON, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> FGARCIA @VERIDIANHOMES.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0910-203-3127-0 TOWN OF WINDSOR 20 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4433 DUTCH DIAMOND WAY <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 25 HOLLAND FIELDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-2 Residence 0.295 Description:single family residence+front covered porch(no deck) 101 -SFR(detached) <br /> District <br /> Category ® Residential ❑ Commercial O Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Public 5396 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other 6059 ❑ YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ❑ YES ® NO I] YES ® NO SHL 2015-00067 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4488 <br /> 22 Sq.Ft.1942 Sq.Ft.2546 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR .3rd FLOOR $252,005.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $386.60 <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 subject <br /> 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 difficult <br /> to identify. Failure to comply may result in removal 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 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 sr r(�i; v ,4Ut ( .A`�• <br /> Ordinances.Any unauthorized change from the information or �r / vs- <br /> OFFICE <br /> plans submitted will Invalidate the permit. l -A r/ <br /> USE ONLY (form version 03.00.07) <br /> GERGEBEM DATE ISSUED INITIALS let INSPECTION DATE INITIALS <br /> 08/18/2015 SJW3 <br /> ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: ! - '/— ? PI <br />