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DANE COUNTY ZONING PERMIT DCPZP-2015-00931 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MARK D BUTTNER (608) 220-3900 Associated Housewrights (608) 238-7519 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3090 HIDDEN VIEW TRL 1217 Culmen St., <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 Madison, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> buttners@tds.net steve.oleson @housewrights.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0607-023-2001-0 TOWN OF SPRINGDALE 2 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3090 HIDDEN VIEW TRL <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 HIDDEN RIDGE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-1 Agriculture 1.549 Descripti nn flfl (� 434- Residential Addition <br /> District �' (���i olc. ,Pf"f�I( i , or1 -0 O_C <br /> Category II Residential ❑ Commercial ❑ Agricultur�f SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.0 P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other ❑ YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES 10 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 130 <br /> 19 Sq.Ft. Sq.Ft. 130 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $18,507.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $59.75 <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 premiss s ily Difne County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordihances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNAT( ent DATE: <br /> Ordinances.Any unauthorized change from the information or , 1 ' <br /> plans submitted will invalidate the permit. '' ` <br /> tor <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQ IRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ES ® NO REVIEWED 11/19/2015 SCW1 <br /> ,�. DA DATE o ` I� INITIALS ��� 2nd INSPECTION DATE INITIALS <br /> Initials <br />