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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> D C PZP-2017-00785 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JENNIFER KOBRYN (262)442-8972 VOYAGER BUILDERS (608)444-2742 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2071 RIVER ESTATES LN 1500 WEST MAIN ST <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JENNIFER.KOBRYN @STRAND.COM KENNAN @VOYAGERBUILDERS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0712-081-8000-0 TOWN OF DEERFIELD 8 NE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1174 GUNDERSON LN <br /> subject to field verification.) <br /> LOT C.S.M.NO.or PLAT NAME <br /> 1 1BLOCK CSM 12911 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-2 (8)Agriculture 12.081 Description:SINGLE FAMILY RESIDENCE,COVERED PORCH, 101 -SFR (detached) <br /> District ROOF AND POSTS FOR LANAI <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private 13-2017-00367 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10027 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES ® NO ❑ YES ® NO ❑ YES 1 NO EC2017-0416 <br /> ❑ <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4663 <br /> 22' Sq.Ft. 1676 Sq.Ft.2987 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $485,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE S 3 73. 15 <br /> $309.411-..4 s.0.71{ <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 all Dane County SIGNATURE`Owner/' e ent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. i II / 'j/1 7 <br /> OFFICE USE ONLY (form version 03.01.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 11/28/2017 SLJ3 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials:1/C-- <br />