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DANE COUNTY ZONING PERMIT Page l of 2 <br /> DCPZP 2016-00065 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JEFFREY M MARGGI (608) 712-9275 SEQUOIA BUILDERS LLC (608) 575-5503 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 477 MEANDER WOOD RD W2227 ALPINE ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 BROOKLYN, WI 53521 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CKELLY.SEQ UOIA @GMAI L.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0510-271-6602-2 TOWN OF RUTLAND 27 NE SE <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 477 MEANDER WOOD RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO or PLAT NAME <br /> 52 OL' STONE ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-1 Residence .58 Description:,HOME ADDITION 434- Residential Addition <br /> District <br /> Category 0 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 2188 YES p 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 /> 88 <br /> 15 Sq.Ft. Sq.Ft.88 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $73,500.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $56.60 <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 pel`formed, 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 SIGNATURE: Owner/Agent.. - DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. 3/'7/ZC <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/07/2016 PMK2 <br /> //YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: elc <br />