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■ <br /> iA•✓r•••II nn.`+---^11.0", ---v-+ <br /> DANECOUNTY ZONING PERMIT ZONING PERMIT NO, Page 1 of 2 <br /> DCPZP-2015-00950 -to 4e�1 , , <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME ` PHONE AGENT/CONTRACTOR NAME PHONE <br /> KUEHN TR, KOREEN K (608) 798-8258 KEULER CONSTRUCTION (608) 798-1771 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> PO BOX 44966 8308 STATE HIGHWAY 19 <br /> (City,State,Zip) I (City,State,Zip) <br /> MADISON, WI 53744 CROSS PLAINS, WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS , <br /> JSARB @TDS.NET KEULERCONSTRUCTION @HOTMAILCOM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0807-301-9500-3 TOWN OF BERRY 30 NE SE <br /> PROPERTY ADDRESS HOUSE NO. • ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 9274 KAHL RD <br /> subject to field verification.) <br /> 1- <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> !ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-1 Ex Exclusive Ag 40 Description:lower level garage addition,main level addition,main 434 -Residential Addition <br /> District level covered porch addition <br /> f Category ® Residential [i Commercial [] Agricultural SEWER SANITARY PERMIT NO <br /> D Other: Private 13-2015-00379 <br /> �ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> D YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES D NO 0 YES ® NO 0 YES 0 NO <br /> !HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1644 <br /> 24 Sq.Ft.720 Sq.Ft.924 <br /> I PROJECT COST <br /> NO.OF STORIES 2nd FLOOR, 3rd FLOOR $311,447.00 <br /> 2 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $173.30 <br /> !1, 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 /> Ito enforcement action. <br /> I acknowledge that I am responsible for comp) ing with State and Federal laws concerning construction <br /> 'near or on wetlands, lakes, and streams. Wetl nds that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in rem val or modification of construction that violates the law or <br /> other penalties or costs. For more information, isit the Department of Natural Resources web page at <br /> ;ww:dnr.state.wi.us or contact the Department,of Natural Resources Service Center. <br /> 1 1 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 /> IOwner&Agent hereby agree to comply with all Dane County S1)GNATUR : e e/Age DATE: <br /> Ordinances.Any unauthorized change from the information or 12,-7-1 s <br /> plans submitted will invalidate the permit. Y /// "e'.„- <br /> OF=ICE USE ONLY (farm version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED ,NITIALS 1st INSPECTION DATE INITIALS <br /> 12/03/2015 SJW3 <br /> ,��] YE ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: Y" - \]� <br />