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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1of2 <br /> DCPZP-2018-00061 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> NATHAN D SPERLOEN (608) 217-5954 BRAD CHESKE (608)295-5141 <br />' BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 30 W MIFFLIN ST STE 404 5540 STATE RD 50 STE 102 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53713 DELEVAN, WI 53115 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> NSPERLOEN©REMACHINES.COM BRADC©RAPINNO.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0709-351-0950-5 TOWN OF MADISON <br /> 35 NE NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2070 SUNDSTROM ST <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 21 HAMMERSLEY HEIGHTS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-3 Residence 1.352 Description:SINGLE FAMILY RESIDENCE WITH ATTACHED 101 - SFR (detached) <br /> District GARAGE <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Public <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D-Unadopted Subdiv 00560 ❑ YES ® NO <br /> Streets <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES 0 NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 5824 <br /> 20'6" MEAN HEIGHT Sq.Ft.2432 Sq.Ft.3392 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $360,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $486.80 <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 /> I 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/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or �/ j� l j� <br /> plans submitted will invalidate the permit. 1 C O <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/06/2018 SLJ3 <br /> ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: /1./—S- <br /> ' <br />