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DANE COUNTY ZONING PERMIT DC ZONING PER 6--00053 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> PAUL E MARKQUART (608) 576-2194 4Sight Custom Homes (608) 212-2283 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 481 M EDI NA ST PO Box 101220 Ash St., <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53595 Oregon, WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> pmarkquart@gmail.com 4sightcustomhomes @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0610-284-8710-0 TOWN OF DUNN <br /> 28 SE NW <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 1926 Princess CT <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 1 CSM 05737 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSEt PROJECT: New Structure/Addition CENSUS CODE <br /> RH-4 Rural Homes 18.69 Description:sfr w/covered porch,screened porch&deck 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> 0 Other: <br /> Private 13201500272 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 4367 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> 1 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4945 <br /> 15 Sq.Ft.1833 Sq.Ft.3112 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $475,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $420.88 <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 come lying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. W tlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may re ult in removal or modification of construction that violates <br /> the law or other penalties or costs. For mor information, visit the Department of Natural Resources web <br /> page at www.dnr.state.wi.us or contact the epartment 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 SIG ATU: • ,'ner/• •ent - DATE <br /> Ordinances.Any unauthorized change from the information or 1 <br /> plans submitted will invalidate the permit. AL *Awe,A *Awe, - V Z Y <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 02/25/2016 SC W 1 <br /> E ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> %Initials: <br />