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DANE COUNTY ZONING PERMIT DCPZP-2016-00103 Page 1 of 2 OWNER INFORMATION AGENT'CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ADAM FRYDENLUND (608)345-2979 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 5210 BRANDENBURG WAY (City,State,Zip) (City,State,Zip) MADISON,WI 53718 E-MAIL ADDRESS E-MAIL ADDRESS alfconstruction@yahoo.com PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0911-292-0363-9 TOWN OF BRISTOL 29 NW NE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 6889 MOONLIGHT CIR subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 86 SUNSET RIDGE-1ST ADDITION ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addltlon CENSUS CODE A-1 Agriculture Description:14'x 12'x 12'det res stor shed 329-Other District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E-AII Other ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 168 12 Sq.Ft. Sq.Ft.168 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR #Error 1 Sq.Ft. Sq.Ft. PERMIT FEE $62.60 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlapds that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modi#icaitidrtofkonstruction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. A I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County SIGN RE: Owner/Agent DATE: Ordinances.Any unauthorized change from the Information or 1 / plans submitted will invalidate the permit. r tp OFFICE USE ONLY rform vers■on 03.00 07) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 03/24/2016 RLB YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials:�