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DANECOUNTY ZONING PERMIT ZONING PERMIT NO. Page t of 2 <br /> DCPZP-2021-00334 <br /> OWNER INFORMAT ION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> 'WHITLEY REV LIVING TR,J (608)206-2061 <br /> BILLING ADDRESS(Number.Street) ADDRESS(Number.Street) <br /> 2820 ALLEGHENY DR <br /> (City,Stats.Zit,) (City,State.Zip) <br /> MADISON, WI 53719 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JOHNQWHITLEYJ.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0608-124-8070-3 TOWN OF VERONA 12 SE NE <br /> PROPERTY ADDRESS HOUSE NO. ST,DIRECTION STREET NAME ST.TYPE <br /> (Assignment ornewaddress is 2820 ALLEGHENY DR <br /> subject to Bald verification.) <br /> LOT {BLOCK C.S.M.NO.or PLAT NAME <br /> 1 METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> TER-08 Two Family .91 Des«iption:16'x 20'STORAGE SHED 329 -Other <br /> Residential District <br /> Category 0 Residential 0 Commercial 0 Agricuitural SEWER SANITARY PERMIT NO <br /> Other. <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 2019-11470 Q YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES 0 NO 0 YES 0 NO 0 YES ® NO <br /> 4EiGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 320 <br /> 11 Sq.Ft. Sq.Ft.320 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $7,892.00 <br /> 1 Sq.Ft. Sq Ft. PERMIT FEE <br /> S82.00 <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 /> Dther 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 b Agent hereby agree to comply with all Dane County SIGNATURE: Owner/AgentDATE: <br /> Ordinances.Any unauthorized change from the information or , rTal- <br /> plans submitted will invalidate the permit. I R - // i V' ' '' / /5 Z <br /> CrFFICE USc ONLY (/ tform version O4,0O.O1) <br /> SURVEY REQUIRED 7 DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/1412021 PMK2 <br /> 0 YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials. C cr <br />