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DANE COUNTY ZONING PERMIT DCPZP 2017-00254 Page oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ASMA ZAHEER (608)807-3616 JEANETTE ACKER (608)849-6770 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 9806 SOARING SKY RUN 102 N HOLIDAY DR <br /> (City,State,Zip) (City,State,Zip) <br /> WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> apatan @deloitte.com jeanette.acker @tds.net <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-321-4211-0 TOWN OF MIDDLETON 32 NE SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7497 LOVELAND PASS <br /> subject to field verification.) <br /> LOT C.S.M.NO.or PLAT NAME <br /> 11 1BLOCK ASPEN MEADOW ESTATES <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture .8 Description:new home construction,covered porch,screen porch 101 -SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ID Private 13-2017-00066 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> YES ® NO <br /> + <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ll NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 8078 <br /> 34 Sq.Ft.2344 Sq.Ft.3776 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $576,000.00 <br /> 2 Sq.Ft.1958 Sq.Ft. PERMIT FEE <br /> $655.85 <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 subject <br /> to enforcement action. <br /> • <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 difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> 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 G ATURE: Owner/Age,iy DATE. <br /> Ordinances.Any unauthorized change from the information or / / <br /> plans submitted will invalidate the permit. / , <br /> OFFI.'E USE ONLY (form version 03.01.01) <br /> SURVEY REQUIRED? DATE ISSUED r INITIALS 1st INSPECTION DATE INITIALS <br /> 05/10/2017 SSA1 <br /> ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS ,. <br /> Initi 61 Vii AA <br />