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DANE COUNTY ZONING PERMIT DCPZP 2018 00038 Page 1 of2 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DALE E THOMPSON (608)824-9466 PHILIP CARLSON (608) 821-0322 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 7724 GREENWOOD RD 4387 SCHWARTZ ROAD (City,State,Zip) (City,State,Zip) VERONA, WI 53593 MIDDLETON, WI 53562 E-MAIL ADDRESS E-MAIL ADDRESS PHIL @CARRINGTONLAWN.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0708-311-2713-8 TOWN OF MIDDLETON 31 NE NW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 7724 GREENWOOD RD subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 3 CSM 03969 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE A-1 Agriculture 7.7 Description:14'x 11'PERGOLA 329 -Other District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C-Town Road ID YES ® NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 154 10 Sq.Ft. Sq.Ft.154 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $6,000.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $61.55 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County SIGNAT >r • �� A e DATE: Ordinances.Any unauthorized change from the information or P-117-0 ,+, 0�J� plans submitted will invalidate the permit. / OFFICE USE ONLY (form version 04.00.00) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS YES ® NO 02/15/2018 PMK2 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: