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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1of2 <br /> DCPZP-2016-00140 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRYAN J STEEL (608)658-7736 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1375 CONNEMARA LN <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jks.stee124 @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-071-3044-9 TOWN OF OREGON 7 NE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1375 CONNEMARA LN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 24 HAMPTON HILLS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-1 Residence Description:32'x 26'x 8'open deck&steps addn to sfr 434-Residential Addition <br /> District <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 /> E-All Other DCPREZ-2009-10095 <br /> f ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND / EC/SW NO. <br /> ❑ YES ® NO ❑ YES NO YES 4 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 456 <br /> 8 Sq.Ft. Sq.Ft.456 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $10,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $84.20 <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 SIGNATU- : Owner/Agen DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. VA <br /> • <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/06/2016 RLB <br /> \' YES ® NO DATE REVIEWED /` INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:y ^ 1 / („ r1/l 1` <br />