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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1of2 <br /> DCPZP-2018-00079 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ROBERT T DICKE (608)770-0228 Duren Custom Builders (608)837-4750 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 6205 KNOLLWOOD DR 3027 Castleton g CCUSSt k <br /> (City,State,Zip) (City,State,Zip) J <br /> OREGON, WI 53575 Sun Prairie,WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dsduren @charter.net <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0509-201-8601-0 TOWN OF OREGON <br /> 20 NE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 5886 County Highway A <br /> subject to field verification.) <br /> LOT (BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-4 Rural Homes 17.862 Description:height/driveway ok per hjh 101 -SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other. Private 13201700337 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> 7200 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES NO ❑ YES IZ NO E G a o 0 _3 a ' <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 8814 <br /> 28 Sq.Ft.4798 Sq.Ft.2908 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $900,000.00 <br /> 2 Sq.Ft.1 108 Sq.Ft. PERMIT FEE <br /> $711.05 <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: Own /Agent II ATE: <br /> Ordinances.Any unauthorized change from the information or / <br /> plans submitted will invalidate the permit. '� r""1"- --- V' 3 - 3 1 <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/13/2018 SCW1 <br /> ❑ YES ® NO DATE REVIEWED / INITIALS 2nd INSPECTION DATE INITIALS <br /> Initia.Nt 3 ^ /4 f r' / ' P M\/ <br />