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DANE COUNTY ZONING PERMIT " E~ ''T. ,_ <br /> DCPZP-201 8-00031 <br /> 0,::'JER t'JFO,1i:'ATIOmJ AGFfa P C 10H :("F ui;f.1 ir'.=1J <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TIMOTHY A WILSON (608)698-2118 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1300 GARDEN AVE <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> WILSN5@YAHOO.COM <br /> SECTION 1/4 1/4114 <br /> 0510-222-8660-7 TOWN OF RUTLAND 22 NW NW <br /> HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (AselptesteM of new address is 768 CENTER RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 08661 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New StmetundAddltlon CENSUS CODE <br /> RH-1 Rural Homes '821— Description:SINGLE FAMILY RESIDENCE,3 BEDROOMS 101 -SFR(detached) <br /> District a , Q 4' <br /> Category (a Residential ❑ Commerdal ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> El r: Private 13-2018-00013 <br /> Othe <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 06858 ❑ YES la NO <br /> SHORELAII FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ❑ YES ® NO ❑ YES RI NO <br /> HEIGHT(In Feet) BASEMENT 1 et FLOOR TOTAL SQUARE FEET <br /> 5262 <br /> /5 48V-MEAN• sq.Ft.2156 Sq.Ft.3106 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $325,000.00 <br /> 1 Sq.FL Sq.Ft. PERMIT FEE <br /> $444.65 <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 ail Dena County <br /> Ordinances.Any unauthorized change from the information or MIL <br /> plans submitted will Invalidate the permit. MI i;11-0..,:., _ r re. du/ 8" <br /> OF _E US_ ._r n, sine,1-,1,,A, <br /> SURVEY REQUIRED? DATE ISSUED INITIALS •1st INSPECTION DATE INITIALS <br /> 0, 0 + 02/06/2018 SLJS <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INIlULL.3 <br />