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DANE COUNTY ZONING PERMIT Page 1 of 2 <br /> DCPZP-2016-00507 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JOSEPH C DISALVO (608) 445-6631 NOLDEN CONSTRUCTION LLC (608) 513-4300 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 20 WEST PEARL STREET 104 W. CHURCH STREET <br /> (City,State,Zip) (City,State,Zip) <br /> BELLEVILLE, WI 53508 BELLEVILLE, WI 53508 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JOEDISALVOJR @YAHOO.COM NOLDENCONSTRUCTION @YAHOO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0508-223-8820-0 TOWN OF MONTROSE 22 SW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7079 FRENCHTOWN RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 14240 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-1 Residence .7 Description:SFR WITH DECK AND PORCH 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private 13-2016-00150 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10950 <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ❑ YES ® NO ❑ YES ® NO SE2016-0272 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 3246 <br /> 30 Sq.Ft.882 Sq.Ft.1486 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $208,000.00 <br /> 2 Sq.Ft.878 Sq.Ft. PERMIT FEE <br /> $293.45 <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 Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or R <br /> plans submitted will invalidate the permit. -v V /d /( <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 08/10/2016 PMK2 <br /> YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: IA./ <br />