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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1of2 <br /> DCPZP-2018-00158 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> KRISTIN HALVERSON (608)845-2138 <br /> BILLING ADDRESS(Number,Street) o ADDRESS(Number,Street) <br /> . -1 0TA 6„S-)0 i SURSe_f 1,)i' l U e <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> kris @halversons.org <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0608-353-8110-0 TOWN OF VERONA 35 SW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6801 SUNSET DR <br /> subject to field verification.) <br /> LOT (BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CSM 14036 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition <br /> RH-3 Rural Homes 8.965 Description:detached garage no sanitary CENSUS CODE <br /> District 438-Garage <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER <br /> SANITARY PERMIT NO. <br /> ❑ Other: Private no fixtures <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road —4{0713^ <br /> 1 077 I ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ICI NO ❑ YES IA NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 21 Sq.Ft. Sq.Ft. 1728 1728 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $81,971.00 <br /> 1 Sq.Ft. Sq.Ft. <br /> PERMIT FEE <br /> $179.60 <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 SIGNATURner/•ge't DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. ;'� ', �� /? /q4 <br /> :....r/`i "6 <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> • 04/19/2018 SCW1 <br /> U YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: •j� 9 , '1 /� <br /> �J o[ Iv■ <br />