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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Pa{taiof <br /> DCPZP-2016-00185 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE. AGENT/CONTRACTOR NAME PHONE <br /> JUDY LYNN ANDERSON (608)770-8981 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number,Street) <br /> 3338 COUNTY HIGHWAY J <br /> {Clay.State,Zip) (City,State.Zip) <br /> VERONA,WI 53593 <br /> EMAIL ADDRESS E-MAIL ADDRESS <br /> jlander3 @wisc.edu <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 114 <br /> 0707-363-8140-9 TOWN OF CROSS PLAINS <br /> 36 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST DIRECTION STREET NAME ST TYPE <br /> (Assignment of new address Is 3338 COUNTY HIGHWAY J <br /> subject to Relit verification.) <br /> LOT !BLOCK C.S.M NO.or PLAT NAME <br /> 1 CSM 059136 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT Alteration to existing building CENSUS CODE <br /> A-2(4)Agriculture 4.852 Description adds)to existing sfr 434- Residential Addition <br /> District <br /> Category 0 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private no permit req'd per brando. <br /> 0 Other; <br /> ROAD CLASSIFICATION REZONE NO. C U P NO. VARIANCE NO DEED RESTRICTION <br /> B-County Highway 4540 [I YES Gil NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SWNO. <br /> Ql YES [] NO D YES ® NO 0 YES 0 NO <br /> HEIGHT(in Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3720 <br /> 14 sl t-L 1120 sq.Ft.2600 <br /> PROJECT COST <br /> 'NO OF STORIES 2nd FLOOR 31d FLOOR $170,000.00 <br /> 1 So Ft Sq.Ft. PERMIT FEE <br /> $329.00 <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 failur( <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 S{_..- TU"` ; 0 n Age DA ,E: <br /> Ordinances.Any unauthorized change from the information or f f <br /> plans submitted will invalidate the permit. ! - 4 p�td ti`' --`) r <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/22/2016 SCW 1 <br /> 0 YES RI NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIAlS <br /> Initials: <br />