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DANE COUNTY ZONING PERMIT • - , Page 1of . <br /> DCPZP-2015-00951 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ANNETTE M FELICE (608)831-3735 GENESIS EXTERIORS INC (608) 310-7689 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number.Street) <br /> 4913 FOXFIRE TRL 4401 FEMRITE DR <br /> (City,State.Zip) (City,State,Zip) <br /> MIDDLETON, WI 53562 MADISON, WI 53716 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> chris @genesisexteriors.net <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0808-354-2177-5 TOWN OF SPRINGFIELD 35 SE NW <br /> PROPERTY ADDRESS HOUSE NO ST DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4913 FOXFIRE TRL <br /> subject to field verification.) <br /> LOT BLOCK C.S M.NO or PLAT NAME <br /> 17 CHERRY HILL <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT. Alteration to existing building CENSUS CODE <br /> R-1 Residence 1.1 Description'REAR YARD DECK REPLACEMENT 434 - Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO <br /> Other- Private <br /> ROAD CLASSIFICATION REZONE NO C.U.P.NO VARIANCE NO DEED RESTRICTION <br /> E-All Other 1597 p YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 439 <br /> 10 SG Ft.60 SG.Ft.379 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $7,850.00 <br /> 1 Sq.Ft. SG Ft. PERMIT FEE$165.86 <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.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- -E: •wner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> -- <br /> plans submitted will invalidate the permit. Alibi - a 7 /. <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 12103:2015 SJW <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2rld INSPECTION DATE INITIALS <br /> ,I, e4--- 123115' <br />