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DANE COUNTY ZONING PERMIT DCPZP-2017-00098 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE % AGENT/CONTRACTOR NAME PHONE <br /> REENA WAS (608) 2253553- Temple Builders (608) 729-3990 <br /> BILLING ADDRESS(Number,Street) r� ADDRESS(Number,Street) <br /> 3648 KEMPFER CT (035 f Ury)e Z f 'S j ('� 2501 W. Beltline Hwy#113 <br /> (City,State,Zip) 'fi 3 0 Q (City,State,Zip) <br /> VERONA, WI 53593 Madison, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jtemple@templebuilds.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0608-052-2501-0 TOWN OF VERONA <br /> 5 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is -""73 4- Watch Hill - GiR- <br /> subject to field verification.) 7,5 9 y v rt <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 1 THE WOODS AT WATCH HILL A CONDOMINIUM <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-4 Residence 2.28 Description:Single family residence 101 -SFR (detached) <br /> District <br /> Category RI Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private 13 2017-00031 <br /> ROAD CLASSIFICATION REZONE NO. 1 l OS? C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other j b Qa:C <br /> ® YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES RI NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 6602 <br /> 32 Sq.Ft. 1853 Sq.Ft.2999 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $575,000.00 <br /> 2 Sq.Ft. 1750 Sq.Ft. PERMIT FED <br /> $545.15 ---.) <br /> I, the undersigned, am the owner of the property or an authorized agent acting on be er 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 SI ATU- : Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. LAS//� A 2I ! j Ala <br /> OFFICE USE ONLY (form v',rsion 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/20/2017 DJ E 1 <br /> ®( YES ❑ NO DATE REVIEWED INITIALS A 2nd INSPECTION DATE INITIALS <br /> )c:,, i)._In itials: Y - aO sI ? 7 1"l <br /> i L `rd/LA S -aL- (WI 1,41,A4 1.14"`' 2S' <br />