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DANE COUNTY ZONING PERMIT Pagel of <br /> DCPZP 2017--00204 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DENISE M LEHNER (608) 558-2526 HANDYMAN TONY (608) 213-4735 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1475 DILL DR 1353 RUTLEDGE ST <br /> (City,State,Zip) (City,State,Zip) <br /> BROWNTOWN, WI 53522 MADISON, WI 53703 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> HANDYMANTONY @GMAI L.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0610-172-0019-9 TOWN OF DUNN <br /> 17 NW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4378 JORDAN DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 10 WATERCRESS PARK CONDOMINIUM ASSOCIATION INC <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-4 Residence 5.3 Description:REMOVE NON-CONFORMING SHORELAND 101 -SFR (detached) <br /> District RESIDENCE AND BUILD NEW SFR(UNIT 10) <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D-Unadopted Subdiv Streets 4809 <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES ❑ NO ❑ YES ® NO ❑ YES ® NO SE2017-0096 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1506 <br /> 21.5 Sq.Ft. Sq.Ft.575 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $250,000.00 <br /> 2 Sq.Ft.931 Sq.Ft. PERMIT FEE <br /> $162.95 <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 SIGNAT • ner/Age DATE: <br /> Ordinances.Any unauthorized change from the information or y <br /> plans submitted will invalidate the permit. ' / . 10 <br /> OFFICE ONLY (form ver.F;on 03.01.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/26/2017 HJ H 3 <br /> 0 YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />