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ZONING PERMIT NO. Page 1 of 2 <br /> DANE COUNTY ZONING PERMIT DCPZP-2016-00341 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE , /CONTRACTOR NAME PHONE <br /> IVAN J HELLENBRAND (608) 8313444 RIPP'S CUSTOM REMODELING <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 7456 KICKABOO RD 503 LEXINGTON DRIVE <br /> (City,State,Zip) (City,State,Zip) <br /> WAUNAKEE, WI 53597 WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> IVANBETH @HOTMAIL.COM RIPPREMODELING @TDS.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0808-161-9040-0 TOWN OF SPRINGFIELD 16 NE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7224 KICKABOO RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 14207 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-2 Rural Homes 7 Description:SFR WITH PORCH 101 -SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2016-00099 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10896 <br /> YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES ® NO ❑ YES ® NO 0 YES ® NO EC2016-0210 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 23 Sq.Ft. 1802 Sq.Ft.3076 4878 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $430,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $415.85 <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 ■ ww.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: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. .4,c.. 6 —A9—f6 <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/10/2016 PMK2 <br /> z[11 YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: ,( <br /> I <br />