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DANE COUNTY ZONING PERMIT Page 1 of 2 <br /> DCPZP 2016-00691 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> HUTCHINS REV TR,ALAN B&MICCA S (608) 523-1261 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2014 LAKEVIEW AVE 1,301 b rckrn inert <br /> (City,State,Zip) `) (.,,,s.. (t }_t, R.& , (City,State,Zip) <br /> MIDDLETON, WI 53562 V <br /> M1` . Flo ret � <br /> E-MAIL ADDRESS I E-MAIL ADDRESS <br /> ALANHUTCHINS @TDS.NET ,c,3 70) <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0506-311-9210-0 TOWN OF PERRY 31 NE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 132 DRAMMEN VALLEY RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 13150 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes 3.472 Description:RES ACC BUILDING 27 X 40 438-Garage <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10312 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1080 <br /> 13 Sq.Ft. Sq.Ft.1080 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $44,500.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $131.00 <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 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 zonin• ordinances <br /> Owner&Agent hereby agree to comply with all Dane County SI r /f 1 -E '1 n: Ag o n DAT : . <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. /; .,. f/• �'0' AO to 8 <br /> OFFICE UFE OV'_Y (form ven;ion 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INI IALS 1st INSPECTION DATE INITIALS <br /> 10/18/2016 HJH3 <br /> 4,3,r, YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: /..:r 10 - 0)0 .'/G �p) I"t 1� <br />