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l <br /> DANE COUNTY ZONING PERMIT DCPZP-201+7-00349 <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> MATTHEW D IVERSON (608)335-2534 Double D Builders (608)751-7132 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2263 HAMMOND RD 10608 N East Union Rd., <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 Evansville,WI 53536 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> iversoncrew4 @yahoo.com dreese44 @gmail.com <br /> SECTION 1/4 1/41/4 <br /> 0511-223-9820-0 TOWN OF DUNKIRK 22 SW SE <br /> HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment or new address is 2260 Hammond RD <br /> subject to held v.rtllcatton.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 14454 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-2(2)Agriculture 5 Description:sfr w/covered porch no deck 101 -SFR(detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> r: Private 13201700088 <br /> Othe <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Tam Road 11036 <br /> 0 YES la NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO El YES ® NO ❑ YES ® NO 20170179 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 14 sq.Ft.1800 4821.5 <br /> Sq.FL 3021.5 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $250,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $411.61 <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 /> 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.11 Dan.County SICat URE:Owner/ DATE. <br /> Ordinances.Any unauthorized change from the Information or C <br /> ph>ta submitted wM invalidate the permit. /J / <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ❑ YES ® NO 06/15/2017 SCW1 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />