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DANE COUNTY ZONING PERMIT Page 1 of 2 <br /> DCPZP 2017-00081 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MONTIE K BOWIE (608) 335-3521 Marten Building & Design (608) 212-6934 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1540 DON SIMON DR PO Box 64 <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 Sun Prairie, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> m.birdget22@gmail.com randy @martenbuilding.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0911-303-4163-0 TOWN OF BRISTOL 30 SW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3129 Katie Ida LN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 73 BRISTOL GARDENS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture .641 Description:sfr w/porches and deck 4 bdrm only 101 - SFR (detached) <br /> District <br /> Category ® Residential 0 Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13201600313 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES J NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 31 Sq.Ft. 1997 Sq.Ft.3479 <br /> 7530 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $713,587.00 <br /> 2 Sq.Ft.2054 Sq.Ft. PERMIT FEE <br /> $614.75 <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 S NAT• ' •wner/Agee BATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. :..�/ /` _ '_�/�, y!3-/3.-- /7 <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUI- D? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/13/2017 SC W 1 <br /> /� E' ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: !,i <br /> I•. -/ <br />