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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1of2 <br /> DCPZP-2016-00554 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRET CLOSTERMERY (608)831-4422 Hart Denoble Builders Inc (608)831-4422 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 289 VALLEY RIDGE DR 7923 Airport Road <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 Middleton,Wi 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> bnorth @denoblebuilders.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0811-343-0523-0 TOWN OF SUN PRAIRIE 34 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2276 GLEN OAKS CIR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 OAKS,THE <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-1 Residence Description:sfr w/cov frt por,scr por 101 -SFR(detached) <br /> District <br /> Category 171 Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private 13-2016-00196 <br /> 0 Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> DCPREZ-000-8030 ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO SE16-0282 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 7028 <br /> 32 Sq.Ft.2158 Sq.Ft.3811 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $600,000.00 <br /> 1 Sq.Ft.7028 Sq.Ft. PERMIT FEE <br /> $577.10 <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 SIGN TUR •w - . •ge•t DATE: <br /> Ordinances.Any unauthorized change from the information or < , <br /> plans submitted will invalidate the permit. ■ /- 6t/2-(e//b <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 08/26/2016 RLB <br /> . 10 YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initi Is: Y" <br />