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szf- / - 66 <br /> DANE COUNTY ZONING PERMIT Page 1 of 2 <br /> DCPZP-2017 00066 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGEJT/CONTRACTOR NAME PHONE <br /> SCHMIDT REV LIVING TR,PAUL R&BONITA J (608) 770-0093 KM CONSTRUCTION (608) 333-9118 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3018 HAPPY VALLEY RD 4255 SUNSET RIDGE <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 COTTAGE GROVE, WI 53527 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> KNEXTERIORS @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0911-193-9870-7 TOWN OF BRISTOL 19 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3018 HAPPY VALLEY RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 06065 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-1 Agriculture 6 Description:REPLACE DECK AND STAIRS 434- Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> 0 Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 0 YES ® NO <br /> SHORELAND FLOOD ZONE WET D EC/SW NO. <br /> 0 YES ❑ NO ❑ YES m NO YES 42j. NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 328 <br /> 6 Sq.Ft. Sq.Ft.328 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $18,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $74.60 <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 ordinan -s. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: J /A!; rtt DA E <br /> Ordinances.Any unauthorized change from the information or , / .7 I <br /> plans submitted will invalidate the permit. l <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> fri 0 3/07/2017 HJ H 3 <br /> ls:� S 0 NO DATE REVIEWED ' INITIALS ��� 2nd INSPECTION DATE INITIALS <br />