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ZONING PERMIT NO. Page 1 of 2 <br /> DANE COUNTY ZONING PERMIT DCPZP-2021-00311 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> EUGENE UNGER (608)963-9838 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 9445 OLD 60 RD <br /> (City,State,Zip) (City_State,Zip) <br /> SAUK CITY, WI 53583 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br />• guclIc1@gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0907-062-8501-0 TOWN OF ROXBURY 6 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 9445 OLD 60 RD <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: Alteration to existing building CENSUS CODE <br /> SFR-08 Single .36 Description:REBUILD/ENLARGE RESIDENTIAL DETACHED 438- Garage <br /> Family Residential GARAGE 28 x 34 <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-All Other 0 YES ® NO <br /> , <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> S E2021-0157 <br /> ® YES ❑ NO ❑ YES ® NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 952 <br /> 12 Sq.Ft. Sq.Ft,952 <br /> PROJECT COST <br /> NO,OF STORIES 2nd FLOOR 3rd FLOOR $35,000.00 <br /> 1 Sq.Ft, Sq.Ft. PERMIT FEE <br /> $145.20 <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 SIGN • URE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or 7222/ <br /> plans submitted will invalidate the permit. _�/ `�, (y <br /> OFFICE 1'f..;::ONLY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED ITIALS 1st INSPECTION DATE INITIALS <br /> 06/07/2021 HJH3 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> 010 o <br />