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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2021-00320 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> THE HEFFRON COMPANY INC (608)643-8525 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 200 PRAIRIE ST STE 200 <br /> (City,State,Zip) (City,State,Zip) <br /> 9 PRAIRIE DU SAC, WI 53578 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> heff@heffronhomes.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0907-184-3067-0 TOWN OF ROXBURY <br /> 18 SE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 7261 Flyhawk LN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 7 BLACKHAWK FIELDS <br />!1 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> SFR-08 Single .562 Description:4 bdrm sfr 101 -SFR(detached) <br /> Family Residential <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private 13202100132 <br /> D Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other 0 YES ® NO <br /> i SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO ❑ YES ® NO ❑ YES ® NO 20210209 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 5402 <br /> 20 Sq.Ft.1863 Sq.Ft.3536 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $410,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $590.20 <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: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or , • I l <br /> plans submitted will invalidate the permit. v <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/10/2021 SCW1 <br /> �� ® YES 111 NO DATE REVIEWED INITIALS 2nd INSPECTION DATE9:1)/11--"6--- INITIALS <br /> Init�lSls: <br />