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DANE COUNTY ZONING PERMIT DCPZP ZONING PER IT NO . Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MELISSA A HUSTON (608) 225-0428 CLEARY BUILDING CORP (608) 379-0132 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> PO BOX 83 190 PAOLI STREET <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE, WI 53527 VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HSBELGIAN @AOL.COM TLEESER @CLEARYBUILDING.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-262-9811-0 TOWN OF SUN PRAIRIE 26 NW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 5178 COUNTY HIGHWAY TT <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 09637 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-2 Rural Homes 12.98 Description:70X72 AG ACCESSORY BUILDING 329-Other <br /> District 50X44 ATTACHED AG ACCESSORY BUILDING FOR HOUSING <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 /> B-County Highway 3837 <br /> YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES ❑ NO ❑ YES El NO 21 YES ❑ NO EC2016-0075 <br /> HEIGHT(In Feet) 'BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7240 <br /> 27'8" Sq.Ft. Sq.Ft.7240 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $150,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $593.00 <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 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: c ,ne,/gent 'DAT : <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. 3 Z 3/ <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/25/2016 SJW3 <br /> YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />