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DANE COUNTY ZONING PERMIT DCPZP 20 Di(;,-, ' of <br /> 13-00921 <br /> • <br /> O■ NF R INFORMATION Ac,F Ni ,,(ThTF,1:TT(-)R!NFI,Pr.'ATI:TN <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MICHAEL BLAKE (608)695-6332 LEGENDARY HOMES, LLC (608)829-5000 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number.Street) <br /> 927 HARRINGTON DR APT 204 8000 EXCELSIOR DRIVE <br /> (City.Stets.Zip) (City,State.ZIp) <br /> MADISON,WI 53718 MADISON,WI 53717 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BLAKEMP1984@GMAILCOM TONY @LEGENDARYBUILT.COM <br /> SECTION 1/4 1/41/4 <br /> 0711-033-8430-8 TOWN OF COTTAGE GROVE 3 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address Is 4581 KENNEDY RD <br /> subject to field verification.) <br /> •LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CSM 03100 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 2.1 Deseripbon:SFR 101 -SFR(detached) <br /> District <br /> Category 0 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> 0 Other: <br /> Private 13-2013-04481 <br /> ROAD CLASSIFICATION REZONE NO. • C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 2145 0 YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES 0 NO ❑ YES 0 NO ❑ YES 0 NO EC2013-0437 <br /> HEIGHT(In Feet) BASEMENT let FLOOR TOTAL SQUARE FEET <br /> 5088 <br /> 14 Sq.Ft.2184 Sq.Ft 2904 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $240,000.00 <br /> 1 Sq.Ft Sq.Ft PERMIT FEE <br /> $431.60 <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 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 Darn County SIGNATURE:Owned ge DATE: <br /> / <br /> Ordinances.Any unauthorized change from the Information or / i 2 i i <br /> plans submitted will Invalidate the permit. (. Cv t- hh���� <br /> i <br /> t <br /> SURVEY REQUIRED T DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 12/1B/2013 PMK2 <br /> ❑ YES 0 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> / <br /> Initials: �r1•+ <br />