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DANE COUNTY ZONING PERMIT DCPZGPERMI-00859 Page 1 of 2 <br /> OWNER INFORMATION 1 AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JACK&JENNIFER WENDTLAND (608) 358-8865 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5037 DALEY ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST, WI 53532 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jack_w @evcoplastics.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0909-274-9805-0 TOWN OF VIENNA 27 SE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 5320 CUBA VALLEY RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 14092 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-2 (2)Agriculture 2.95 Description:new house rear 101 - SFR (detached) <br /> District -t- Scr�zeh pc """ <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER 1 SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2015-00341 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10874 <br /> ❑ YES la NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO n/a <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 20 Sq.Ft.2283 Sq.Ft.2499 6165 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $353,000.00 <br /> 2 Cj,- .;u'1�- <br /> sq.Ft. 1383 Sq Ft PERMIT FEE <br /> $512.38 <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 SI NAT R • Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or ' I <br /> plans submitted will invalidate the permit. t 0 o�` <br /> .3 t}!, <br /> OFFICE US Z.ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 10/23/2015 SSA1 <br /> ❑ YES ® NO DATE REVIEWED INITIALS ��� 2nd INSPECTION DATE INITIALS <br /> Initials: ,�I s-_y <br />