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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Pagel of <br /> DCPZP-2016-00057 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MREC VH MADISON LLC (608)226-3100 FLORENCE GARCIA <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 6801 SOUTH TOWNE DR <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> fgarcia @veridianhomes.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0708-203-4064-0 TOWN OF MIDDLETON 20 SW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7623 ENGLISH DAISY CT <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 74 SPRUCE HOLLOW <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture 1.095 Description:SFR+covered front entry+rear deck 101 -SFR(detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Ei Other <br /> 13-2016-00037 <br /> r. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other YES la NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES ® NO 0 YES R) NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT let FLOOR TOTAL SQUARE FEET <br /> 6451 <br /> 26.75 Sq.Ft.1744 Sq.Ft.2991 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $522,514.00 <br /> 2 sq.Ft.1716 Sq.Ft. PERMIT FEE <br /> $533.83 <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 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 SIcN�yTURE• Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or �� -` � / <br /> plans submitted will Invalidate the permit, �` } C}--�/C�trd�- <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS let INSPECTION DATE INITIALS <br /> 03/03/2016 SJ W3 <br /> YES ❑ NO DATE REVIEWED I r— INITIALS \ 2nd INSPECTION DATE INITIALS <br /> Initials: I IL/y I f� !�V_t_A''J1 <br />