Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP-2018700089 Pagelof2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JORKI FABRICIO CASTRO (608)438-7861 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 3779 TOKEN RD <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST, WI 53532 <br /> E-MAIL ADDRESS E-MAIL ADDRESS ' <br /> LOLITALOVE222 @HOTMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0810-031-6943-4 TOWN OF BURKE 3 NE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 3779 TOKEN RD <br /> subject to field verification.) <br /> LOT C.S.M.NO.or PLAT NAME <br /> 72 IBLOCK LEDGES,THE-1ST ADDITION <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-1 Residence .5 Description:REPLACE DECK ON SFR 434- Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 1706 <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES IO NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 300 <br /> 7 Sq.Ft. Sq.Ft.300 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $5,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $72.50 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and subject <br /> to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SI c= - - <br /> Ordinances.Any unauthorized change from the information or a, /�` / ' <br /> tans submitted will invalidate the permit. `� <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/19/2018 HJH3 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> ' C 3/(‘O$ SL- ) <br />